Leo's Health Profile (Age 3)
You mentioned Leo was coughing at night last week. How is his sleep now? Based on his history of mild asthma, we should keep an eye on this.
Given Leo's age (3) and his history of ear infections last winter, the fever and ear tugging strongly suggest another ear infection (otitis media).
Action: Watch vs. Act
Manage the fever tonight with Tylenol (based on his weight profile: 160mg). If the fever persists into tomorrow morning or pain increases, we should get him seen.