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How would you distinguish AOM and otitis media with effusion (OME)?

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How would you distinguish AOM and otitis media with effusion (OME)? SJ is a sixteen-month-old boy who is brought to the clinic with a one-day history of tugging at his right ear and crying and a two-day history of decreased appetite, decreased playfulness, and difficulty sleeping. His mother has documented a fever, so she has […]

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