An 11-year-old boy with a history of chronic otitis media with effusion presented with a 10-day history of fever
on Wednesday, September 21, 2011
 Question Number 0733 Question: An 11-year-old boy with a history of chronic otitis media with effusion presented with a 10-day history of fever, right otalgia and occipital headache. Examination of his right ear revealed a thickened, but intact tympanic membrane. Postauricular fluctuance was evident. The remainder of the physical examination, including a neurological exam, was normal. White blood cell count was 18.7 cells/mm3 with a left shift. The most appropriate management would be: a) No treatment b) Amoxicillin for 10 days c) Removal from child care center d) CT scan e) myringotomy
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Labels: ENT, MEDICINE