Other than the Tylenol® he took last night he is not taking any medications. All his immunizations are up-to-date. Tommy is allergic to penicillin.
Vital signs: Temperature: 104o F, Heart rate: 140 beats/min, Height: 25 inches, Blood pressure: 120/80 mmHg, Respiratory rate: 30 breaths/min, Weight: 25 lbs
To find the answers to this case click this link: answers.
1. What is the most likely diagnosis of this patient's current problem?
2. What are the most common causes of this patient's problem?
3. What antibiotic would you prescribe for this child's current problem?
Take Care and Think Microbiologically!
Neal R. Chamberlain, Ph.D.
Big OUCH! Bulging tympanic membrane and erythema
1= otitis media; 2= Streptococcus pneumoniae, Haemophilus influenzae (usually nontypable), Moraxella catarrhalis; 3= since this patient is allergic to penicillin the usually first line antibiotic, amoxicillin, is not recommended therefore an alternative like azithromycin or clarithromycin could be used. To help with the pain an oral analgesic like acetaminophen or ibuprofen can be used. A topical analgesic, benzocaine, may also be helpful.
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