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Kaplan Qbank USMLE



Author6 Posts
  #1

Four weeks after successful initial treatment of a unilateral otitis media in a 2-year-old white male enrolled in a local day-care center, you reevaluate the child. He is asymptomatic, but you detect a middle ear effusion and a mild hearing loss in the affected ear. The tympanic membrane has no serious secondary changes.
The best treatment at this time would be

inflation of the eustachian tube by the Valsalva maneuver or the method of Politzer
an antihistamine daily for 30 days
low-dose corticosteroids for 30 days
referral to an ENT specialist
no further treatment, with reevaluation in 30 days


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life is reality without an eraser

  #2

no further treatment, with reevaluation in 30 days - serous otitis media.




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"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #3

p53 what about mild hearing loss?will it correct by itself?

  #4

yes.

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"Everything should be made as simple as possible, but not simpler." - Albert Einstein

  #5

thank you.

  #6

successful treatment, asymptomatic= no treatment

I learn a hard way but this is the key to ALL the examinations from neurosurgery to ped.

If an asymptomatic man with 4.5 cm AAA, no tx, watchful waiting

If a pt with aortic stenosis asymptomatic, no tx !!!!!!!!!!!


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