The following day he was afebrile, and a physical examination was normal except for findings of slight redness of the left tympanic membrane with no middle-ear fluid and a bulging right tympanic ...

March 24, 2009 — History and physical examination is the key to evaluate ... pulling or rubbing the ear. Tympanic membrane findings include erythema, bulging, loss of landmarks, effusion ...

The findings point to the advisability under most circumstances of restricting antimicrobial treatment for AOM to children who have TM bulging, and they call into question clinical trials of the ...