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Answer:

Across
4First episode at age less than 6 months Siblings in home Patient is male Formula fed Day care attendance Cigarette smoke in home Cold _____ months of the year
6Strep pneumonia (40-50%), H flu (40%), Moraxella catarrhalis, ALSO Group A Beta hemolytic strep, Staph aureus, _____ bacteria, viruses
7OM with _____/ serous otitius
Down
1Cholesteotoma, hearing loss, speech delay, mastoiditis, _____, meningitis
2HIB _____, & prevnair (pneumococcal) vaccine
3Majority will clear spontaneously within 2 months Treatment if complications associated with chronic middle ear effusions- if kid already has hearing _____ delay Investigate underlying etiology Sinusitis Allergy Immune deficiency Submucus cleft pa
5Full/ bulging tympanic membrane, decreased or absent mobility on insufflation, _____ tympanic membrane, otorrhea, (erythema of TM is not diagnostic)

 
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