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  • Review: ear pain and a cloudy, bulging, or distinctly immobile tympanic membrane appear to help diagnose acute otitis media in children

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Diagnosis
Review: ear pain and a cloudy, bulging, or distinctly immobile tympanic membrane appear to help diagnose acute otitis media in children

https://doi.org/10.1136/ebm.9.2.58

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    Rothman R, Owens, Simel DL. Does this child have acute otitis media? JAMA 2003;290:1633–40.
    OpenUrlCrossRefPubMedWeb of Science

    
 
 Q In children, how accurate are symptoms and signs for diagnosing acute otitis media (AOM)?

    Clinical impact ratings GP/FP/Primary care ★★★★☆☆☆ Emergency medicine ★★★★★☆☆ Paediatrics ★★★★★★☆

    METHODS

    Embedded ImageData sources:

    English language studies were identified by searching Medline (1966 to May 2002), scanning bibliographies of relevant studies, and searching general and specialty textbooks.

    Embedded ImageStudy selection and assessment:

    studies were selected if they examined the accuracy of symptoms and signs in the diagnosis of AOM in children. Studies on the diagnosis of persistent otitis media with effusion were excluded. Studies were assessed for methodological quality including whether there was an independent blinded comparison of signs or …

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    Footnotes

    • For correspondence: Dr R Rothman, Vanderbilt University Medical Center, Nashville, TN, USA. russell.rothmanvanderbilt.edu

    • Source of funding: Robert Wood Johnson Clinical Scholars Program.