ReelDx Ear Case Study No. 2

Hear it here. Our second case study from ReelDx is in!

If you missed Case Study No. 1, you can view it here.

The Patient

A 9-month-old girl with a cough, fussy and is not eating or drinking. She was seen by providers the day before but was brought back into the Emergency Department because her symptoms persisted. The patient is on day 1 of a course of Amoxicillin.

The Work Up

Dr. Spiro from ReelDx took the patient’s history, conducted a physical exam, and then used the CellScope Oto for the otoscopic exam.

The Diagnosis

Acute Otitis Media (AOM), Otitis Media

What We Learned

An AOM can be challenging to diagnose. Is is suggested that providers follow the diagnosis guidelines recommended by the American Academy of Pediatrics. The wait- and-see prescription can be used in some cases and is accepted by families.  Since this patient was already on a course of antibiotics, Dr. Spiro recommended to continue the treatment and use Ibuprofen for pain as needed. Dr. Spiro cautions against switching antimicrobials because frequent changes can increase the likelihood of an adverse reaction, like a rash or diarrhea.

The patient’s right ear captured by the Oto. The patient was diagnosed with AOM.

The patient’s right ear captured by the Oto. The patient was diagnosed with Acute Otitis Media.

Check out both ear videos and full case write up on the ReelDx library.

Keep those case studies coming, Dr. Spiro!

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