Problem:
An 18-month-old boy has a runny nose (yellowish discharge) and has been rubbing his left ear for 3 days. His parents kept him home from day care and brought him in for an evaluation as both his eyes became pink and were full of crust and yellowish discharge this morning. He has been fussy, not eating well, and had a temperature of 100°F. The physical examination reveals a fussy, alert boy. His throat and lungs are WNL. There is evidence of yellowish discharge from the nose, and his left ear canal is clear, but the tympanic membrane is bulging and red, and fluid is noted behind the tympanic membrane. cMost likely cause including pathogen - Mode of transmission - Discuss data that supports your decision - Treatment strategies -