She states patient has been complaining of right ear pain and discomfort since 2 days ago, she has been more irritable than usual and has had difficulty sleeping

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Subjective:

Patient is a 4 years old female who was brought for consultation by her mother. She states patient has been complaining of right ear pain and discomfort since 2 days ago, she has been more irritable than usual and has had difficulty sleeping. She has also noticed that Emily has been tugging and grabbin at her right ear frequently. Mother also reports an episode of mild fever yesterday. 

Dx: Acute Otitis media with efusion 

USE APA FORMAT and sholarly references no older than 5 years old. 

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