Fever in Pediatrics — 7yo Child | Pediatric Respiratory | SMLE Q#18649

SMLE Question #18649

Pediatrics Pediatric Respiratory

Objective: OBJ-PED-RESP-ABS-IMAGING-001

Last updated: February 2026
A 7-year-old child has 2 weeks of purulent nasal discharge and nasal congestion. Symptoms improved for 3 days, then recurred with fever and worsening frontal headache. Examination shows purulent nasal drainage and focal tenderness over the frontal sinus. There is no neck stiffness, altered mental status, or visual complaints. What is the most appropriate next step in management?

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