Patients with acute otitis media should be referred to a specialist in which of the following situations?Patients with acute otitis media should be referred to a specialist in which of the following situations?

Patients with acute otitis media should be referred to a specialist in which of the following situations?Patients with acute otitis media should be referred to a specialist in which of the following situations?

Patients with acute otitis media should be referred to a specialist in which of the following situations?
a. Concurrent vertigo or ataxia
b. Failed closure of a ruptured tympanic membrane
c. If symptoms worsen after 3 or 4 days of treatment
d. All of the above

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