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+--- Thread: nbme4 ear - sonia29 (/showthread.php?tid=621459)
nbme4 ear - sonia29 - ArchivalUser - 10-13-2011
A previously healthy 4-year-old boy is brought to the physician b/c of increasing left ear pain for 2 wks. His temperature is 38.5C (101.3F). examinatin of the left ear shows an erythematous, bulging tympanic membrane and an edematous auditory canal with a small amount of mucopurulent discharge. The ear appears to be displaced laterally, and there is moderate tenderness in the area behind the ear. Examination of the right ear shows no abnormalities. A 1-cm, freely mobile, nontender mass is palpated over the left anterior neck. Examination of the pharynx shows no abnormalities. Which of the following is the most appropriate next step in management?
A. monospot test
B. Tympanography
C. CT scan of the temporal bone
D. Hydrocortisone/polymyxin/neomycin ear drop
E. Oral amoxicillin therapy
is this mastoiditis?
0 - ArchivalUser - 10-13-2011
ear displace....abscess......CC................if there is choice iv antibiotic would be first answer
0 - ArchivalUser - 10-14-2011
yes i think its mastoiditis answer is C
myringotomy and ATB is the treatment
if bone destruction:IV ATB and mastoidectomy