paeds404

paeds404

A mother attends the clinic with her 4-year-old. She has noticed a discharge from the his left ear over the past two weeks. He has a history of frequent episodes of ‘ear infection’ but has been otherwise well. There is no reported fever. On examination, the child is systemically well. The child is co-operative with otoscopy which shows an intact pink tympanic membrane on the right but a possible perforation on the left. What is the next best step in management?