Male Presents With Explained for Students (Easy Guide)

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Original Question

A 5 yo male presents with bilat ear pain, fever, cough, and runny nose for about 20 days. He was seen earlier in the month and diagnosed with otitis media and prescribed amoxicillin for 7 days. He continued to run a fever after completing the antibiotics and was seen again with continued otitis media. The nurse practitioner prescribed amoxicillin/clavulanate for 10 days. He improved after the completion of antibiotics but now presents with the symptoms listed. He has no allergies and no medical history. Exam showed Vital Signs blood pressure 90/50, pulse 90, respirations 20, temp 38.7 ℃, Weight 85 lbs HEENT: Bilat tympanic membranes with erythema and bulging, green nasal discharge, erythema in the posterior pharynx, neck supply without adenopathy CV: regular rate and rhythm, no murmurs Respiratory: Clear equal bilaterally breath sounds Diagnosis Bilateral Otitis Media

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