merrk
Forum Elite
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4 yr old. f/up of ear pain. you saw her 4 days ago, prescribed OM and prescribedx amoxicillin 40-60mg/kg/day. now she is no better. exam same as before, next step
A. change to broad spectrum abx
2. continue amox for 4 more days and reevaluate
3. CBC and blood culture
4. prescribe antihistamine/ decongestant
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| cam
Forum Senior
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A? change to Amoxicillin/clavulanate?
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| drkpp
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A
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| chemamr
Moderator and PGY2
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A
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| merrk
Forum Elite
Topics: 27
Posts: 280
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correct!
If the child is not improving... change Anx
If the child is worse on exam... then reconsider your diagnosis. the child may have developed meningitis.
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