A 9-year-old patient had a tonsillectomy 4 days ago. His father has brought him to the clinic as earlier today he noticed a small amount of bright red bleeding from his mouth. He is otherwise recovering well and has been eating and drinking normally.
What is the best course of action for managing this patient’s bleeding?
A 7-year-old girl comes to the GP with her mother because she has been experiencing hearing difficulties in her left ear. She has a history of glue ear and has had grommets inserted in the past. During an otoscopy of the left ear, there is a significant buildup of earwax in the external auditory canal, and although the grommet is visible, the tympanic membrane is obscured. The right ear appears normal.
What would be the best course of action for management?
A 63-year-old woman comes to your clinic complaining of a painless, foul-smelling discharge from her left ear that has been going on for four months. She had seen another doctor a month ago who prescribed gentamicin/hydrocortisone ear drops, but they did not help alleviate her symptoms.
Upon examination, there is some wax buildup in the attic of her left ear, but otherwise, everything appears normal. Her cranial nerve examination is also unremarkable.
What would be the best course of action to take?
A 50-year-old woman presents with a large thyroid swelling, difficulty breathing on lying flat and slight dysphagia. What is the most appropriate investigation to delineate the size and extent of the goitre?
A 4-year-old girl is brought to her General Practitioner by her parents because of concerns regarding her hearing. They have noticed she often doesn’t respond when spoken to and seems to have difficulty following instructions. Three months ago, she presented with pain and discharge from her right ear and was treated with a course of amoxicillin.
On examination, she is well. Both tympanic membranes are intact and have a grey appearance, with absent light reflexes.
What is the single most likely diagnosis?
A 25-year-old man presents with a three-month history of weight loss, night sweats, and painful lumps in his neck that worsen with alcohol consumption. What is the most probable diagnosis?
A 60-year-old man comes to the clinic 3 days after being hit on the left side of his head. He reports experiencing muffled hearing on the left side since the incident. Upon examination, there are no visible bruises, but both ears are covered by a thin, translucent layer of wax. Rinne’s test reveals that the tuning fork is more audible when placed on the mastoid bone on the left side. On Weber’s test, the sound is heard most clearly on the left side. What is the probable diagnosis?
A 62-year-old Chinese man who is a smoker visits his doctor with complaints of a constantly congested nose and bloody discharge from the nose. What type of cancer is he most susceptible to?
A 29-year-old man presents with decreased hearing in his left ear. Upon examination, there are no signs of acute infection, but both eardrums appear dull. Tuning-fork tests are performed, revealing that bone conduction is heard better than air conduction on the left side (the affected ear) during Rinne’s test, while Weber’s test localizes to the left ear. Rinne’s test on the right side shows air conduction better than bone conduction. What type of hearing loss is present in this patient?
A 24-year-old man comes to the clinic with a slow-developing swelling in the anterior triangle of his neck, located in front of the sternocleidomastoid muscle. The swelling is movable, fluctuant, painless, has no visible punctum, and doesn’t shift with swallowing.
What is the most probable diagnosis?