Send us Fan Mail Episode 62 Pharyngitis Shoot me any comments or questions @Rotation2ptoh on X Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025 Outro Music: Childhood Memories by Alex Grohl Courtesy of Pixabay under Creative Commons non-commercial use. Produced by: Todd Fredricks DO MSS Edited by: Todd Fredricks DO MSS Answers for Episode 61 Otitis Media Question 1 — Initial management (observation vs antibiotics) A 28‑month‑old boy is brought in for 1 day of ear pain and fussiness. His temperature in clinic is 38.3 °C (100.9 °F). He is otherwise healthy, immunizations are up to date, and there has been no antibiotic use in the past month. Otoscopy shows a mildly bulging, erythematous tympanic membrane on the right with preserved landmarks; the left ear is normal. He is drinking adequately and has mild, controllable pain. What is the most appropriate next step in management? B. Watchful waiting for 48–72 hours with scheduled oral analgesics and clear return precautions Question 2 — First‑line antibiotic and dosing A 3‑year‑old girl presents with 2 days of bilateral ear pain and poor sleep. She is well‑appearing, has no conjunctivitis, and has not taken antibiotics in the last 30 days. Otoscopy reveals moderate bulging of both tympanic membranes with middle‑ear effusions. What is the most appropriate initial antibiotic regimen? D. Amoxicillin 80–90 mg/kg/day PO divided twice daily Question 3 — Duration of therapy A 6‑year‑old boy with non‑severe unilateral AOM is started on high‑dose amoxicillin. He has no tympanic membrane perforation, and symptoms are improving after 48 hours. What is the most appropriate total duration of antibiotic therapy for this patient? C. 5–7 days Paper for Next Week: Podwojniak, A., Tan, I. J., Sauer, J., Neubauer, Z., Rothenberg, H., Ghani, H., Parikh, A. K., & Cohen, B. (2025). Acne and the cutaneous microbiome: A systematic review of mechanisms and implications for treatments. Journal of the European Academy of Dermatology and Venereology, 39, 793–805. Rotations 2.0 is copyrighted. But you can use any content from the podcast for non-commercial purposes under Creative Commons….BUT, BUT, BUT, you must cite Rotations 2.0 and Todd Fredricks DO MSS as the source of the material AND AND AND you cannot alter or edit the content in any manner without expressed permission of Todd Fredricks DO MSS. Rotations 2.0 is made possible by the generous understanding and accommodation of my beloved institution, Ohio University. The comments and ideas expressed on Rotations 2.0 are that of the content creators alone and may not reflect official policy or the opinion of the Ohio University, the State of Ohio, or the US Government or any other state, person or governmental agency. Listeners interested in specifics from the paper authors should contact them directly through their respective institutions. Any therapeutic ideas discussed should not be taken as any kind of medical advice or recommendations by the content creators and the content creators are not offering medical advice but discussing topics from an academic perspective. Listeners seeking advice about any medical care or decision-making should consult their own physician or medical provider and the content creators of Rotations 2.0 assume no liability for any listener's care or decision-making stemming from the topics discussed on Rotations 2.0.
