A 6-year-old presenting with headache and post-auricular pain

A previously healthy 6-year-old girl reports a two-day history of right ear pain. Her parents confirm complaints of headache over the prior 4days and decreased appetite together with emesis the day prior. They deny a prior history of acute otitis media, but past history includes fever and right-sided hearing loss. She had no recent ear drainage or complaints of disequilibrium.

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