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Otitis Media, Acute — Diagnostic Considerations — Clinical Pathway: All Settings

Acute Otitis Media Clinical Pathway — All Settings

Diagnostic Criteria for AOM (All 3 Required)

Onset Acute onset of signs and symptoms
Bulging Membrane Best predictor of bacterial infection
Middle Ear Effusion Reduced TM mobility with pneumatic otoscopy

AOM should be diagnosed in children with new onset otorrhea without otitis externa

OME diagnosis is based on a middle ear effusion w/o middle ear inflammation


Mild Bulging

Moderate Bulging

Severe Bulging

 

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