Sarah, age 4, is brought into the clinic by her mother. The child is crying and tugging on both her ears. Her mother states that the symptoms started suddenly 2 days ago and are still present. Sarah had a fever earlier, but it was improved after giving her Tylenol. Sarah weighs 40 lb and is allergic to penicillin.
What physical exam would need to be performed, and what would you expect to see on the exam?
What would be the diagnosis for this patient?
What would be the treatment and educational plan for this patient?