Ear pain with several weeks of IV and oral antibiotics, usually fluoroquinolones. Acute otitis media is an infection of the middle ear. More than 80% of children experience at least one episode of otitis media by age 3 years. Acute otitis media is also most common in these first 3 years of life, though older children may also experience it. The most common causative bacteria are "Streptococcus pneumoniae", "Haemophilus influenzae", and "Moraxella catarrhalis". Otitis media often occurs with or following cold symptoms. The diagnosis is made by the combination of symptoms and examination of the tympanic membrane for redness, bulging, and/or a
Common name not always English. For example, "Dikkop" is the centuries-old South African vernacular name for their two local species: "Burhinus capensis" is the Cape dikkop (or "gewone dikkop", not to mention the presumably much older Zulu name "umBangaqhwa"); "Burhinus vermiculatus" is the "water dikkop". The thick joints in question are not even, in fact, the birds’ knees, but the intertarsal joints—in lay terms the ankles. Furthermore, not all species in the genus have “thick knees”, so the thickness of the "knees" of some species is not of clearly descriptive significance. The family Burhinidae has members that have various common names even