paeds441

A 4-year-old female was suffering from an upper respiratory tract infection. Her mother treated her with paracetamol only, for 5 days. After that, she presented in the emergency room with severe pain in her left ear, high-grade fever and irritability. What is the most likely diagnosis?

paeds442

A 6 month old child was brought in after choking on a foreign body, which had resulted in the child having difficulty breathing. The best possible site for the incision would be?

paeds433

An 8-year-old girl returns from holiday in Greece, complaining of ear discharge and tragal tenderness. The exam shows a normal tympanic membrane and ear cleaning was done. What is the next step in management?

paeds434

A 12-year-old boy hit his head on a pole on the school playground. His friends noted that he lost consciousness for a few seconds. The school nurse sent him to the Emergency Department as he had a small nasal bleed that stopped spontaneously. In the intervening two hours, he has noticed a watery discharge from his nose. On examination, there is considerable bruising on his nose and forehead, he was complaining of a headache. Which is the most appropriate diagnosis?

paeds435

A 12-year-old female presented with a bleeding nose. On examination by the ENT surgeon, it was noticed that the bleeding was coming from the anterior part of the nose and the bleeding point was clearly visualised. Which of the following options is the most suitable choice in this case?

paeds436

A 16 year old boy presented, complaining that an insect had lodged in his left ear. Which of the following can be considered as the most appropriate method to remove the insect?

paeds437

A 2 year old boy was brought to the physician by his mother with a history of a swelling on the right side of his neck that is extending from the angle of mouth to the middle 1/3rd of sternocleidomastoid muscle. On examination the swelling was on the anterolateral aspect of the muscle and was found to be brilliantly transilluminant. Which of the following is the most likely diagnosis?

paeds429

A 6 year old boy has been taken to his local hospital for his third sore throat in one month. Doctors have discovered bleeding from his gums and nose. He is also presenting with pale conjunctiva. From the list of options, what is the single cell type most likely to be seen on microscopy?

paeds430

A child presents with a history of recurrent tonsillitis. His mother claims he had three attacks in one year. What is the best management?

paeds431

A mother came to the clinic, with her 7 month old baby. She anxiously explained that he was not responding to loud sounds. He was vocalizing at the presentation and he had normal motor milestones. Which of the following is the most appropriate management?