student cases for discussion with faculty

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Student Case 7:
Month is July
Child aged 4 months

In office for well-baby exam
Mother has 2 older children with PE tubes placed in ears before age one

Normal ear exam
Bilateral tympanograms:
compliance > 0.3
gradient < 100
Volume 0.6 cc

 

 tympanic-membrane
  
Questions for discussion with faculty:
   What measures would you suggest to avoid problems with this child?