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Nurse Practitioner

6 year old female presents with 4 days of bilateral ear pain and chills. No fever,per parents. Ear pain and redness started Friday, swelling began on Saturday and has continued to worsen. Right ear > left. Denies cough, congestion, sore throat. Also has faint rash on forehead and right cheek. No PMHx. Exam benign other than rash, erythema and induration bilaterally to pre and post-auriclar areas. What are your thoughts?