A 6 year old with a recent history of ear infection, now represents with bilateral, erythematous and bulging tympanic membranes. His parents claim the boy also has hearing difficulty. Otoscopy reveals an effusion on the left side. Doctors suggest to perform Weber and Rinne tests. Which of the following is consistent with a left-sided middle ear effusion?
An 8 year old child complains of pain in his ear. His overall health is normal and clinical examination reveals no discharge, hearing loss or fever. Just by looking at it, the pinna of the ear looks swollen and red. Also, pushing the tragus leads to pain. Otoscopy reveals an erythematous external auditory canal and an otherwise healthy tympanic membrane. The bony external canal courses through which bone?
A 5 year old girl presents with impaired hearing capacity. Her mother admits she often has to repeat herself to be heard. History reveals that the girl often watches television in high volume. Weber test reveals that the sounds are louder on the left side. What can you conclude from these findings?
A 2-year-old unimmunized child presents to paediatric emergency with sudden onset fever, drooling and soft stridor. What is the most likely diagnosis?
An 18-month-old child is brought in by her mother after she has been holding onto her both ears and crying out of pain. This has been going on for about a week and there has been no improvement in the pain despite using paracetamol and ibuprofen. On examination, the child is febrile, and her pulse is 130 beats per minute. the tympanic membranes are red and bulging on both sides. What is the most appropriate course of action in this patient?
A 15-year-old rugby player is brought to the emergency by his teammates after suffering a blow to the face. He is applying pressure on his nose with a towel which is saturated with blood. Direct compression results in cessation of bleeding. On examination, a pink/blue mass can be seen occupying the right nostril. The rest of the ENT examination is not significant. The patient reports a blocked nose for the past few weeks. The boy is most likely suffering from which of the following conditions?
A 19-year-old boy presents to the emergency department following a blow to the face playing rugby. He informs that he had a nosebleed which lasted for about 10-15 minutes but has now stopped completely. Presently the boy complains of difficulty breathing through his nose. On inspection, there is visible bruising to the nose, and upper lip. Further examination reveals bilateral red swellings arising from the septum. What is the best immediate step in the management of the boy’s symptoms?
During the excision of the submandibular salivary gland, which one of the following nerves is at risk of injury as the duct is mobilised?
A 15-year-old girl who has undergone a recent excision of the left submandibular gland presents to the follow-up clinic with complaints of tongue weakness on the ipsilateral side.What is the nerve that is most likely to be damaged?
An 11-year-old girl presents to the paediatric assessment unit with a widespread macular rash. She had a previous history of flu-like illness and sore throat diagnosed as tonsillitis for which she was prescribed Amoxicillin. On examination, she has widespread cervical lymphadenopathy and petechiae on her palate. What is the most likely underlying pathogen?