A child who was treated with amoxicillin and then amoxicillinclavulanate for acute
otitis media is seen for followup. The primary care pediatric nurse practitioner notes dullgray tympanic membranes with a visible airfluid level. The child is afebrile and without pain. What is the next course of action?

Question

A child who was treated with amoxicillin and then amoxicillin­clavulanate for acute
otitis media is seen for follow­up. The primary care pediatric nurse practitioner notes dull­gray tympanic membranes with a visible air­fluid level. The child is afebrile and without pain. What is the next course of action?

Quizplus · Accepted Answer

The presence of a dull-gray tympanic membrane with a visible air-fluid level, without fever or pain, suggests middle ear effusion rather than acute infection. Monitoring for 3 months is appropriate to see if the effusion resolves on its own.

A Child Who Was Treated with Amoxicillin and Then Amoxicillin­clavulanate

A Child Who Was Treated with Amoxicillin and Then Amoxicillinclavulanate