M/4, C/o. itching and discharge from both ears. No other complaints. Spot rx dx..

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Acute otitis media . U can wait n watch till 3 days might b viral in origin. Give paracetamol round the clock. Otoscopic examination. After 3 days if symptoms persists give amoxiclav at a dose of 80 mg/kg/day .

S O m both ears Betnesole n ear drops 2 drops 4 times daily Syp levocet 1 t s f b d Antibiotics orally Prevent water entring into ears

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Acute otitis media sy aug bd sy recofast 1 1/2 tsf tds ciplox eardrops otrivin nasal drops paed 3 drop bd nasal

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Suppurative otitis media of both ear, Oral broad spectrum Antibiotic,analgesic

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otorrhea.duration of symptoms?ent examination to rule out perforation of TM followed by definitive treatment.

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Otitis media b/l

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ASOM Oral Antibiotics Nasal Saline drop Antiallergic Refer to ENT Surgeon

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Bilateral otitis externa ? Seborrhiec Dermatitis

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ASOM

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Ascom

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