Carmine DiStefano is visiting Dr. Salpega today with his 1½-year-old son, Lucas. Lucas has been very restless and has not been sleeping very well during the past few nights. During the day, he hardly eats and is constantly tugging on his left ear. Mr. DiStefano is concerned because his 5-year-old daughter, Sophia, struggles with chronic otitis media and has recently had tubes placed in her ears. He is certain that Lucas has an ear infection.

1. Explained why the physician asked about whether child had cold, cough or still uses a bottle.

2. Explained how the physician will respond to the parent’s concerns about the condition.

3. Explained the likely course of treatment and need for follow up.