RT Book, Section A1 Smitherman, Hannah A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. A2 Schafermeyer, Robert SR Print(0) ID 1155429076 T1 Ear and Nose Emergencies T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259860751 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155429076 RD 2024/04/18 AB The diagnosis of otitis media is based on the rapid onset of signs and symptoms of middle ear inflammation in the presence of middle ear effusion. Pneumatic otoscopy is an essential component of the ear examination.Worsening otitis media while on antibiotics may be a sign of a suppurative complication.Consider sinusitis in patients with severe rhinitis and in patients with persistent or worsening upper respiratory infection (URI) symptoms after 10 days.Hospitalize patients with sinusitis with orbital or intracranial extension for intravenous antibiotics, sinus imaging, and subspecialty consultation.