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학습 자료 둘러보기 →In a child with acute otitis media, the combination of a bulging, red tympanic membrane and purulent otorrhea is the most significant indicator for immediate intervention.
This finding signals tympanic membrane perforation with active drainage. The perforation relieves pain but creates a direct pathway for pathogen spread, classifying the case as severe AOM.
Severe AOM with otorrhea mandates immediate systemic antibiotic therapy. Do not use watchful waiting, as this is a key criterion for treatment per consensus guidelines.
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