A 3-year-old child presents with high fever, ear tugging, and crying. Otoscopy reveals a bulging, hyperemic, opaque tympanic membrane with poor mobility on pneumatic otoscopy. What is the diagnosis?
Answer and explanation
Correct answer: B. Acute otitis media
- Step 1: Acute otitis media requires acute onset of symptoms, middle ear effusion (bulging, poor mobility), and middle ear inflammation (erythema, pain).
- Step 2: Otitis media with effusion involves fluid behind the tympanic membrane without acute signs of infection.
- Step 3: First-line antibiotic therapy for acute otitis media is oral amoxicillin.
Answer
Acute otitis media.
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