Signs and Evidence

Making clinical sense of scientific data


Beware of the limitations of this tool

Otitis media acuta

Calculated pretest probability: 9.82 %
Relevant inclusion criteria: Age 3 - 6  


1Ear pain

Clinical signs

6Bulging tympanic membrane
7Cloudy tympanic membrane
8Red tympanic membrane

Sources used:

1.Sandi Pirozzo et al. Acute otitis media. West J Med. 2001 Dec; 175(6): 402–407
2.R Rothman et al. Does this child have acute otitis media? JAMA. 2003 Sep 24;290(12):1633-40
3.Wood JM et al. Acute otitis media in young children Diagnosis and management. Medicine Today 2014; 15(7): 12-2
4.Pei-JuTing et al. Epidemiology of acute otitis media among young children: A multiple database study in Taiwan. Journal of Microbiology, Immunology and Infection Volume 45, Issue 6, December 2012, Pages 453-458