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?
A 15-year-old girl presents with complaints of right-sided earache. She says that the ear has been itchy over the past few days but has become excruciatingly painful today. On examination, she appears uncomfortable at rest but otherwise well. Her observations are within normal limits. Otoscopy is difficult as the girl flinches in pain, the ear canal appears oedematous. The tympanic membrane is difficult to see with oedema and discharge present in the external canal. The oropharynx seems normal with no erythema or tonsillar exudate. What is the next step in the management of this patient?
The parents of a 5-year-old overweight boy are concerned that the boy is ‘breathing strangely’ at night for the past few months now. This is associated with frequent and loud snoring. Furthermore, he seems to have sleep disturbances due to these nocturnal breathing difficulties. This, they feel, is reflected as daytime somnolence in the boy.Clinical examination reveals bilateral tonsillar hypertrophy. What is the most appropriate next step in the management of this child?
What proportion of salivary secretions is contributed by the submandibular glands?
A 9-month-old girl is brought to the hospital by her mother with a 24-hour history of coryza and irritability. On examination, she was found to have a temperature of 37.7 C, a harsh cough, stridor at rest, and moderate respiratory distress.Which of the following treatments is indicated in this child?
A 10-year-old develops tonsillitis and presents to the hospital in considerable pain. Which among the following nerves carries the sensation from the tonsillar fossa?
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?
A 16-year-old swimmer develops an infection in his external auditory meatus. The infection is extremely painful.Which one of the following nerves conveys sensation from this region?
A patient complaining of loss of taste in the anterior 2/3 of the tongue has most likely suffered damage to which nerve?
A mother attends the emergency department with her 18-month-old child. She has noticed a discharge from the child’s left ear. On examination, the child is systemically well. Examination of the left ear reveals a foul-smelling copious discharge. The child is reluctant to let you near the ear.What is the most likely diagnosis?