TY - CHAP M1 - Book, Section TI - Otitis Media A1 - Schmidt, Suzanne M. A2 - Sherman, Scott C. A2 - Weber, Joseph M. A2 - Schindlbeck, Michael A. A2 - Rahul G., Patwari PY - 2014 T2 - Clinical Emergency Medicine AB - Distinguish between acute otitis media (AOM) and otitis media with effusion (OME), both of which present with a middle ear effusion.Clinical findings most suggestive of AOM are a bulging tympanic membrane (TM) with a purulent effusion, whereas the TM in OME has a clear effusion with a normal or retracted position.Erythema alone is a poor predictor of AOM and must be combined with other TM characteristics to make a diagnosis.Antibiotic treatment may be indicated for some episodes of AOM, but is not indicated for OME.Assess the patient for possible complications of AOM. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1101225701 ER -