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 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 11-year-old boy presents to the emergency department after being assaulted with a baseball bat. The soft tissue around his left eye shows significant swelling that obstructs the child’s vision. A CT scan shows a fracture at the floor of the left orbit. This injury will most likely lead to an abnormal communication between the orbit and which of the following areas of the face?
A mother attends the clinic with her 4-year-old. She has noticed a discharge from the his left ear over the past two weeks. He has a history of frequent episodes of ‘ear infection’ but has been otherwise well. There is no reported fever. On examination, the child is systemically well. The child is co-operative with otoscopy which shows an intact pink tympanic membrane on the right but a possible perforation on the left. What is the next best step in management?
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?
Which of the following types best describe the epithelium on the external aspect of the tympanic membrane?
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 2-year-old unimmunized child presents to paediatric emergency with sudden onset fever, drooling and soft stridor. What is the most likely diagnosis?
A 17-year-old boy presents with a concern that he had not attained puberty. He lacks secondary sexual characteristics and has altered smell and reduced testicular size. Which of the following hormone profiles with regard to FSH (follicle-stimulating hormone), LH (luteinizing hormone) and testosterone would fit a diagnosis of Kallman syndrome for this patient?