18 month old girl - fever, rinorhhea and fussiness for 2 d
- acute otitis media 2 w ago, but did not complete her oral antibiotic therapy
- temp 38.5 C
- erythematous and mildly swollen external ear canal with an erythematous, bulging tympanic membrane
- erythema and tenderness to palpation inmediately posterior to the left ear, slightly lowe

next step?
a Ct scan of the paranasal sinuses
b IV antibiotic therapy
c Skull radiographs
d Topic otic antibiotic tx