Otology Q18

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