MedBugs: SAQ #400

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Case: Acute otitis media

A 12-month-old, otherwise well, boy is brought to your emergency department with a 1-day history of fever and is a bit off his food. Immunisations are up-to-date. Otoscopy of the R ear reveals the following.

1. State the pertinent findings in the above image. 2 marks

2. Give the three most common bacteria that can cause this condition. 3 marks

3. What are the general indications for prescribing antibiotics for this condition? 4 marks

There are no indications for antibiotics at this present time, however, the child’s mum is refusing to leave without a script for antibiotics.

4. Give five discussion points you will utilise in your approach to shared decision-making with mum. 5 marks

5. List four complications of this condition. 4 marks

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