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Child over 6 months of age presents with uncomplicated Otitis Media         YES -Does the child have a fever with some ear pain. YES Are the parents able to recognize severe illness and bring back child to office if follow up in 48-72 hours is necessary? YES Discuss with parents the need to observe (watchful waiting)child for 48-72 hours give over the counter pain medications.     NO   Observe with no antibiotics.