The Rational Clinical Examination
David L. Simel, Drummond Rennie
Otitis Media, Child
Russell Rothman, Thomas Owens, David L. Simel
Sections:
Clinical Scenario, Why Is This an Important Question to Answer With the Clinical Examination?, Methods, Results, Clinical Scenario—Resolution, The Bottom Line, References
Topics Discussed:
otitis, otitis media, otitis media, acute, pediatrics
Excerpt:
"A mother notices that her 15-month-old child has a low-grade
fever and is tugging at his ears after several days of cough and
runny nose. The child attends day care services and had 1 previous
episode of acute otitis media (AOM) about 4 months ago. In the physician's
office, he is afebrile but somewhat irritable and has clear rhinorrhea,
mild posterior pharyngeal erythema, and normal chest auscultatory
findings. Cerumen occludes the view of his right tympanic membrane,
whereas the left tympanic membrane shows normal landmarks and good
mobility on pneumatic otoscopy. After removal of the cerumen from
his right ear, landmarks are visible on a slightly erythematous
tympanic membrane. The tympanic membrane shows normal mobility on
pneumatic otoscopy...."
Log in to read the full chapter:
Get full access to JAMAevidence two ways:
Subscribe to JAMAevidence
JAMAevidence is a subscription-
based website dedicated to the learning, teaching, and practicing of evidence-based medicine.
Pay Per View
Timed access to all of JAMAevidence
24 hours for $34.95
48 hours for $54.95