John – age 6

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John is brought by his mother. He woke last night with earache- he has had earache before. He is chirpy and not in pain. Examination shows a red left eardrum. He isn’t pyrexial.

  1. What is the diagnosis?
  2. What would YOU do?

Areas far discussion

  • What are the causative organisms?
  • What is the natural history?
  • What are the complications?
  • What examination?
  • What explanation to mum?
  • What follow-up?
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