A 3-year-old is brought to the general practitioner. She has been distressed with otalgia, pulling her left ear for 12 hours. Just before arriving at the surgery, the mother notices a smelling fluid discharge from her daughter’s left ear. On otoscopy, you see a perforated left tympanic membrane.
How should you manage the child?
- A) Immediate antibiotic prescription
- B) Watch and wait
- C) Admit to hospital
- D) Topical antibiotics
- E) Aural toileting
ASCENT 