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Author5 Posts
  #1


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





  #2

Mastoditis

E
) Tympanocentesis

Kaplan has a similar q, for mastoiditis complicated by otitis media, typanocentesis is diagnostic (culture) and therapeutic (drainage)


  #3

Diagnostic is clinical and first step in management is myringotomy+ antibiotics. Failure of treatment --- mastoidectomy.


  #4

i think we should do CT 1st (see the Q in world in ENT section )



Edited by dr_jojo on Mar 11, 2007 - 1:41 PM

  #5

I agree CT is the next step to confirm diagnosis.






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