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Recurrent acute otitis media
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CriteriaChoose one
Ears todayChoose one
PlanChoose one
Additional planChoose any
PreventionChoose any
BreastfeedingChoose any
Follow-upChoose one
Counseling
Many young children have several ear infections that become less frequent as they grow. Ear tubes can reduce how often infections happen and are a choice to make together with the ENT doctor. Recommended supportive care with tylenol or motrin as needed for ear pain. Return precautions given including ear pain, fever, drainage from the ear, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
CounselingNot in the note with these choices
Ear tubes let fluid drain and air into the middle ear, and they usually fall out on their own. Drainage from an ear with a tube is treated with ear drops rather than antibiotics by mouth. Recommended supportive care with tylenol or motrin as needed for ear pain. Return precautions given including ear drainage that is not improving with drops, ear pain with fever, hearing concerns, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
- Recurrence definition
- Exam today; AOM today treated with Augmentin (KAS 4B)
- No prophylactic antibiotics
- Tubes may be offered; ENT referral vs monitoring
- Tube follow-up: patent, extruded, otorrhea with drops
- Vaccines, smoke
- Breastfeeding through 6 months