solved

Mia is an 25 lb,18 month old infant who has had cold symptoms for 5 days. Her mother reports that this morning she developed a fever, has been more irritable, and has some eye drainage from her right eye. On exam, Mia has congestion, purulent eye discharge, and her right TM is red, opaque, and bulging. You make a diagnosis of acute otitis media. She has no drug allergies. What is the first line treatment? If Mia were a 40 lb, 6 years old, how would your treatment strategy differ? If Mia had a PCN allergy, what would first line treatment be including RX and mg/kg dosing?

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