RT Book, Section A1 Smitherman, Hannah A1 Weiner, Evan J. A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1105685392 T1 Ear and Nose Emergencies T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1105685392 RD 2024/04/20 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.Sinusitis should be considered in patients with severe rhinitis and in patients with persistent or worsening URI symptoms after 10 days.Hospitalization for intravenous antibiotics, sinus imaging, and subspecialty consultation are indicated in patients with sinusitis with orbital or intracranial extension.