student cases to discuss with faculty
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Student Case 1:

Child 8 months old

irritable, pulling at right ear, restless sleep,
poor appetite, URI symptoms

temperature 39.4

No structures visible; bulging, erythematous,
thickened, opaque tympanic membrane

Tympanogram: compliance <0.1,
gradient >150

Tympanic membrane
  
Questions for discussion with faculty:
1.  What would be your approach to treatment?
2.  When would you want to see this patient back in the office?