08-08-2006, 05:12 AM
A 3 y/o boy is brought for a follow up exam. He just completes a 10 day course of amoxicillin that has not resolved his right ear pain. He appears irritable. His temp is 39C (102F). Exam shows downward and lateral displacement of the right auricle with tenderness to palpation of the posterior auriclar area. His neck is supple. Which of the following is the most appropriate next step in dx?
a. bone scan
b. ct scan of the head
c. tympanometry
d. lumbar puncture
e. tympanocentesis
a. bone scan
b. ct scan of the head
c. tympanometry
d. lumbar puncture
e. tympanocentesis
