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Acute Otitis Media (Treatment (Doses (amoxicillin/clavulanate 45/3.2 mg/kg…
Acute Otitis Media
Treatment
Penicillin allergy?
Yes
Advanced Gen Cephalosporin: cefdinir, cefuroxime axetil, cefpodoxime, ceftriaxone (IM)
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Etiology
Bugs
Strep. pneumo (Gram +)
Most common, most virulent
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Symptoms
Fussiness, irritability, ear pulling
Otoscopy: bulging red tympanic membrane, no bony landmarks, otorrhea
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