1.
1. An elf's ears are like V's = viruses: 
Viruses are the most common cause of acute otitis media!
1. An elf's ears are like V's = viruses
2.
1. Don't treat the deliveryman he is just the messenger. Just because he is carrying the Pharaoh mask doesn't mean he needs treatment: 
No need to treat carriers - culture positive, asymptomatic patients
3.
1. Elf is walking stubs his toe = always get pain management within 24 hours if possible
Acetaminophen, ibuprofen, topical analgesic agents?, Auralgan, benzocaine: 
Elf = face of acute otitis media
Pain treatment
1. Elf is walking stubs his toe = always get pain management within 24 hours if possible
Acetaminophen, ibuprofen, topical analgesic agents?, Auralgan, benzocaine
4.
1. Elf with his arms spread open - time span - 6 months from the start to 2 years (normal age) - only the one elf severely wanted it (severe problems) - other guy is just looking at it: 
When to treat with antibiotics in Acute Otitis Media if you're not sure
1. When the baby is 6 months to 2 years - use antibiotics if severe AOM; observation if not
2 years and greater can just use the observation option
5.
1. If they have a type 1 allergy give Azithromycin
2. Outline of A and Z: 
1. If they have a type 1 allergy give Azithromycin
2. Outline of A and Z
6.
1. Pharaoh = pharyngitis
2. Person in a box = rheumatic fever
3. You want to treat Pharaoh well otherwise you will end up in a cold, dark room = rheumatic fever: 
Purpose of treatment of pharyngitis is to prevent rheumatic fever
7.
1. Pharaoh coffin is amazingly beautiful so all of the judges will give it a perfect ten
2. American idol judges = judge people based on 10, perfect is ten: 
Treat pharyngitis for 10 days, no evidence that shorter courses are effective
8.
1. Put him on the assembly line - augmentin (amoxicillin and clavulanate) - he won't like the hard labor - and put him on there for 80-90 percent of his time (80-90mg/kg/day): 
Ways to get rid of elf (acute otitis media)
1. Give Augmentin (amoxicillin- clavulante) 80-90mg/kg/day
9.
1. Six people in the room = 1 for each month, if they all get sick, then you should treat: 
When to treat with antibiotics in Acute Otitis Media if you're not sure
1. When the baby is less than 6 months
10.
1. The pen is mightier than the sword, to get rid of the people that want the pharaoh mask, just draw another with a pen (Penicillin). There are then two things, one original and the other one new (dose 2-3 times per day), and 2+3 = 5 so give them Penicillin 5: 
Primary prevention of rheumatic fever treat with Penicillin V: 2-3 times per day for ten days
11.
1. To get to the judging, they had to put the pharaoh on a flatbed truck, it took nine days to get there (also 9 wheels on the truck): Start therapy within 9 days of onset of symptoms to protect against rheumatic fever
12.
1. To lead a country, most pharaoh's are older than three (plus there are more than, three pyramids: 
Epidemiology of pharyngitis - age of onset is usually greater than 3, less than three years of age is rare
13.
1. Try, try, try again = Give cefTRYaxone for IM for three days: 
1. If step one to get rid of Acute otitis media (severe) fails
2. Give Ceftriaxone IM for 3 days
14.
Do not treat empirically, you need a positive diagnostic test: Do not treat empirically, you need a positive diagnostic test
