Acute Suppurative Otitis Media

A 6-year-old child presents with acute onset ear pain, fever (38.5°C), and conductive hearing loss. Otoscopy reveals a bulging, hyperemic tympanum with loss of landmarks. Pure tone audiometry shows air-bone gap. What is the drug of choice for acute suppurative otitis media in this child?

A 4-year-old boy from rural India presents with acute ear pain, fever, and otoscopy shows a bulging tympanum with pus visible behind the membrane. The child has no documented penicillin allergy. What is the preferred first-line antibiotic regimen for this acute suppurative otitis media?

A 6-year-old girl presents with a 5-day history of left ear pain, purulent discharge from the ear canal, and fever (38.5°C). Her parents report she had a cold 2 weeks prior. On otoscopy, the tympanum shows a small perforation with pus draining from the middle ear. Audiometry shows a 25 dB conductive hearing loss. What is the most likely organism and the recommended first-line antibiotic?

A 6-year-old child presents with severe otalgia, fever (38.5°C), and conductive hearing loss for 3 days. Otoscopy reveals a bulging, hyperemic tympanic membrane with loss of landmarks. The child has no history of ear discharge. Which investigation is most appropriate to confirm the diagnosis of acute suppurative otitis media and guide further management?

A 4-year-old boy from rural Maharashtra presents with severe right ear pain for 3 days, fever (38.5°C), and purulent discharge from the ear canal. On otoscopy, the tympanic membrane is under tension with a bulge at the posterosuperior quadrant. The child is irritable and has not slept well. What is the most appropriate immediate management?