A 4-year-old girl presents with symptoms of a cold, ear pain, and decreased hearing, but no fever. On examination, there is a fluid level behind the tympanic membrane but no signs of acute infection. What is the likely diagnosis and management plan?
This presentation is consistent with otitis media with effusion (OME), also known as 'glue ear.' This condition often follows an episode of acute otitis media and can linger even after other symptoms have resolved. Management typically involves watchful waiting as most cases resolve on their own. However, if symptoms persist or if the condition impacts hearing significantly, referral to an otolaryngologist may be necessary for potential placement of tympanostomy tubes.