QuestionPrescription
QuestionComment
This child is 8 and can probably take tablets, but when is it generally preferred to give medications as an oral suspension to children? 
61167
QuestionComment
I've been told by some FYs generally when they're 11-12 you can expect them to be able to swallow + comply
61192
User
subscriber
Liver Hallux
User
subscriber
DJnR
Concept
Chapter
Osteoporosis, otherwise known as thin bones, is a condition associated with high risk of low trauma fractures due to reduced bone mineral density. Osteoclast activity exceeds osteoblast activity, meaning that bone resorption is occurring at a greater rate than bone formation.

**Symptoms and Signs**

- Generally asymptomatic until a fragility fracture occurs
- Back pain
- Kyphosis (stooped posture)
- Fragility fractures

**Risk factors**

- Female sex
- Increasing age
- Smoking
- Corticosteroid use
- Low BMI (< 20-25kg/m<sup>2</sup>)
- Low body weight (<58kg)
- Vitamin D deficiency

**Protective factors**

- Higher BMI
- Exercise - mechanical loading stimulates bone formation

**Diagnosis**
Osteoporosis can be detected on dual-energy x-ray absorptiometry (DEXA) scan.
A T score of < -2.5 indicates osteoporosis

**Management**

- Fall prevention
- Vitamin D and calcium supplementation
- Hormone replacement therapy (postmenopausal women)
- Oral bisphosphonates
2657
3587
Prescribing antibiotics for otitis media
Topic
91
Paediatrics
## Drug choice feedback

This patient has otitis media, this can be inferred due to the otalgia, otorrhoea and findings on examination. The first line treatment for otitis media in children is amoxicillin. If the patient has a penicillin allergy then you should prescribe clarithromycin.

## Dose/Route/Frequency/Duration feedback

The following prescription is appropriate to treat this patient's ear infection:

- Amoxicillin 500mg PO TDS 5-7 days
10054
PrescriptionAnswer
PrescribeAnswerData
10 mL
PrescribeAnswerData
amoxicillin 250 mg/5 mL oral suspension
PrescribeAnswerData
1 week
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
PrescriptionAnswer
PrescribeAnswerData
500 mg
PrescribeAnswerData
amoxicillin 500 mg capsules
PrescribeAnswerData
1 week
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
PrescriptionAnswer
PrescribeAnswerData
500 mg
PrescribeAnswerData
amoxicillin 500 mg capsules
PrescribeAnswerData
5 days
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
PrescriptionAnswer
PrescribeAnswerData
500 mg
PrescribeAnswerData
amoxicillin 500 mg capsules
PrescribeAnswerData
7 days
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
PrescriptionAnswer
PrescribeAnswerData
500 mg
PrescribeAnswerData
amoxicillin 250 mg/5 mL oral suspension
PrescribeAnswerData
7 days
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
PrescriptionAnswer
PrescribeAnswerData
500 mg
PrescribeAnswerData
amoxicillin 250 mg/5 mL oral suspension
PrescribeAnswerData
5 days
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
PrescriptionAnswer
PrescribeAnswerData
500 mg
PrescribeAnswerData
amoxicillin 250 mg/5 mL oral suspension
PrescribeAnswerData
1 week
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
PrescriptionAnswer
PrescribeAnswerData
10 mL
PrescribeAnswerData
amoxicillin 250 mg/5 mL oral suspension
PrescribeAnswerData
7 days
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
PrescriptionAnswer
PrescribeAnswerData
10 mL
PrescribeAnswerData
amoxicillin 250 mg/5 mL oral suspension
PrescribeAnswerData
5 days
PrescribeAnswerData
three times daily (TDS)
PrescribeAnswerData
oral (PO)
Case Presentation: A 8-year-old boy is brought to the GP by his mother due to otalgia. This is affecting his right ear, his hearing on this side is 'muffled' according to his mother. 


## PH
Nil.

## DH
Nil. NKDA.

## On examination

Temperature 37.2°C, HR 98, RR 22, BP 111/68, O<sub>2</sub> 99% RA, GCS 15, Weight 25kg

There is a yellow, purulent discharge from his right ear.

Otoscopy: injection of blood vessels on the tympanic membrane and diffuse erythema of the mid ear. There is a small perforation in the roof of the tympanic membrane.

No neurological abnormalities detected. No signs of mastoiditis.

## Investigations

Nil

## Prescribing Request

Write a prescription for one drug that is most appropriate to treat his otitis media.