A 17-month-old presents to the emergency department (ED) with concern about an ear infection. The child had a runny nose and mild cough for several days and developed a fever on the evening of the presentation.
Aside from being treated the previous month for an ear infection, he is otherwise generally healthy and has not been pulling at his ears.
In the ED, he is a happy toddler with nasal congestion and a reassuring respiratory exam. His right ear Wispr exam is shown below.
What treatment is indicated?
The child has a middle ear effusion (fluid behind the eardrum). No treatment is indicated.