A 17yo boy comes in with complaint of inability to breathe from the right nares. He was seen 2 days ago by his PMD and prescribed amoxicillin for sinusitis, but is not improving. He denies placing any foreign body in his nose. He was in an altercation at school and was hit in the nose 4 days ago. Which of the following would be the most appropriate treatment of this patient’s condition?

Septal hematoma http://rhinitis.hawkelibrary.com/album09/83_G

A. Change antibiotics to amoxicillin-clavulanate

B. Attempt removal of foreign body

C. Incision and drainage and nasal packing

D. Referral to otorhinolaryngologist for polyp removal

Also, if you’re interested in the Peds ID Antibiotics Question of the Week, you can find it here