Reference no: EM133503870
Assignment:
Abigail is a 5-year-old female who presents back to your office for a follow-up visit for ear pain. She presented with her mother five days ago with complaints of left ear pain. The strategy of "watchful waiting" was used, and her mother was advised to give acetaminophen and ibuprofen for pain relief. Abigail's mother reports that Abigail is not better and continues to complain of ear pain. TMax at home 102. 1. Your physical exam reveals acute otitis media of the left ear. The TM is intact. Abigail has no drug allergies. Weight: 19.2 kg.
1. How are you going to treat Abigail's acute otitis media? Support your answer with a citation from a clinical practice guideline.
2. Write out a prescription for the antibiotic you chose to treat Abigail's acute otitis media. (Rx, sig, dispense, refills) Keep in mind that this will be a liquid medication, and you need to indicate the strength you chose. Use the calculator in the Epocrates app. Remember to use generic names. Example given: Rx: amoxicillin 500 mg capsule Sig: Take one capsule orally every 12 hours for 10 days Dispense: 20 capsules Refills: 0
3. List three things that you will teach Abigail's mother.
4. Abigail's mother asks you to see her other daughter Mary as she also has ear pain. Mary is nine years old. Your exam reveals otorrhea and diffuse erythema of the right ear canal. TM is intact. You diagnose her with acute otitis externa. What is your treatment plan? If your plan includes a prescription, write it out below.
5. List three things that you will teach Abigail and her mother.