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Topics: Posts:	Mar 08, 2007 - 9:23 AM       #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
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robin082006 Forum Hero Topics: 468 Posts: 5028	Mar 08, 2007 - 9:34 AM       #2 Mastoditis E ) Tympanocentesis Kaplan has a similar q, for mastoiditis complicated by otitis media, typanocentesis is diagnostic (culture) and therapeutic (drainage)
NE Forum Guru Topics: 53 Posts: 502	Mar 09, 2007 - 6:35 AM       #3 Diagnostic is clinical and first step in management is myringotomy+ antibiotics. Failure of treatment --- mastoidectomy.
Topics: Posts:	Mar 11, 2007 - 11:24 AM       #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
fongch Forum Elite Topics: 71 Posts: 307	May 10, 2007 - 9:07 AM       #5 I agree CT is the next step to confirm diagnosis.

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