mastoiditis

A 2-year-old male is brought to the ED by his mom for right ear pain and high fevers. His right ear is notably pushed forward. On exam, he is alert but fussy, with auricular proptosis and mastoid redness. What’s the next step in your evaluation and treatment?

Acute Mastoiditis is the most common complication of AOM – how do you diagnose it and how does the ENT physician manage it?