| Author | 5 Posts |
dr_jojo
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A 3-year-old boy is brought for a follow-up examination. He just completed a 10-day course of amoxicillin that has not resolved his right ear pain. He appears irritable. His temperature is 38.9 C (102 F). Examination shows downward and lateral displacement of the right auricle with tenderness to palpation of the posterior auricular area; his neck is supple. Which of the following is the most appropriate next step in diagnosis?
A
) Bone scan
B
) CT scan of the head
C
) Tympanometry
D
) Lumbar puncture
E
) Tympanocentesis
IS this mastoiditis as a complication of OM , so what do u think
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| robin082006
Forum Hero
Topics: 471
Posts: 5,125
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Mastoditis
E
) Tympanocentesis
Kaplan has a similar q, for mastoiditis complicated by otitis media, typanocentesis is diagnostic (culture) and therapeutic (drainage)
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| NE
Forum Guru
Topics: 53
Posts: 504
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Diagnostic is clinical and first step in management is myringotomy+ antibiotics. Failure of treatment --- mastoidectomy.
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| dr_jojo
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i think we should do CT 1st (see the Q in world in ENT section )
Edited by dr_jojo on 03/11/07 - 03:41 PM
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| fongch
Forum Elite
Topics: 71
Posts: 316
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I agree CT is the next step to confirm diagnosis.
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