paeds448

A young child presents with a dull and greyish tympanic membrane and no shadow of the handle of malleus is evident. His mother complains that he does not respond when she calls him and that he lately raises the volume of the TV. What is the most likely diagnosis?

paeds438

A 3-month-old baby was brought to the paediatrics ward by her mother with a complaint of noisy breathing and difficulty feeding. On examination, the baby had a mild inspiratory stridor, and subsequent laryngoscopy reveals an omega-shaped epiglottis. Which of the following is the most likely diagnosis in this case?

paeds439

A 3-year-old was brought to the ED after falling from his mothers arms. The mother reports hearing a popping sound when his face hit the floor. Examination revealed swelling and bruising on the right mandible. Which of the following investigations should be ordered next?

paeds440

A 4 year old boy, who is mentally unstable, accidentally shoves a pea into his ear while eating. Otoscopic examination reveals a green coloured object in the ear canal. Which of the following would be the best approach to get rid of the pea?

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?

paeds443

A 6 year old male presented in the OPD with the complaint of nasal bleeding which started 3 days before. Now on examination, there is no bleeding and only slight redness of the anterior mucosa is present. Which of the following steps is the most suitable one now?

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?

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?

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?