A new mother brings her infant to the clinic reporting that the child is not sleeping or eating much. Upon assessment, the health care provider notes that the infant's ear canal is reddened with a bulging tympanic membrane
Which other data collected would lead to the diagnosis of acute otitis media (AOM)? Select all that apply.
A) "Yes, he has been pulling at his ear."
B) "We like to throw him up in the air hoping any water in his ear will drain."
C) "He's been very irritable and fussy the past couple of days."
D) "When I dropped a pan on the floor, he jumped."
E) "He jabbers all the time usually."
Ans: A, C
Feedback:
AOM is characterized by an acute onset of otalgia (ear pain), fever, and hearing loss. Younger children often have nonspecific signs and symptoms that manifest as ear tugging, irritability, nighttime awakening, and poor feeding. Key diagnostic criteria include ear pain that interferes with activity or sleep, tympanic membrane erythema (redness), and middle ear effusion. A child with otitis media with effusion (OME) may develop delayed speech and language skills.
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