Pulling at left ear, membrane red and slightly bulging upon exam. Persistent low grade fevers. Nasal congestion. Breathing even and unlabored. Alert, age appropriate behavior. In the past three weeks has been on amoxicillin then augmentin without improvement. Weight: 16.6 lbs (7.5 kg)
Impression: Drug resistant Otitis Media
Plan: Started on Ceftriaxone 50mg/kg/day. 375mg IM x 3 days
Cough, audible inspiratory and expiratory wheezing with congestion. Crackles and rales in bilat lower lung bases. Dyspnea without exertion. Resp rate: 60. No retractions. No measured fever. Alert, age appropriate behavior. No indication of pain or other complaints. Weight: 9.5 kg
Impression: Early pneumonia
Plan: Started on Ampicillin 50mg/kg/day PO q6 hours. 80mg (3ml) Give 1 hour before or 2 hours after food.
Treating team mates. My least favorite thing to do.
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