Table 5.

Typical clinical features of the common upper respiratory infections in children that have been assessed in randomized, controlled trials

Condition	Typical Clinical Features
Rhinosinusitis	Febrile illness associated with nasal discharge
Persistent rhinosinusitis	Persistent nasal discharge plus abnormalities on sinus radiographs
Pharyngitis	Febrile illness associated with sore throat plus localizing signs on examination
Recurrent tonsillitis	Recurrent febrile illnesses (more than three per year) associated with sore throat plus localizing signs on examination
Acute otitis media	Clinical diagnosis of acute otitis media with red tympanic membrane and ear pain
Recurrent acute otitis media	Recurrent clinical diagnosis of acute otitis media (three or more episodes in 6 months) with red tympanic membrane and ear pain
Otitis media with effusion	Asymptomatic persistent middle ear effusion confirmed by tympanometry
Chronic suppurative otitis media	Discharge through a perforated tympanic membrane for 2 to 6 weeks