An 18-year-old woman presents to her GP with painful lumps in her neck that appeared two days ago. She also reports a sore throat and fever. Upon examination, she has tender, enlarged, smooth masses on both sides. What is the most probable diagnosis?
A 4-year-old girl is brought to the clinic. Her mother reports that she has been complaining of a painful right ear for the past 2-3 days. This morning she noticed some ‘yellow pus’ coming out of her ear. On examination her temperature is 38.2ºC. Otoscopy of the left ear is normal. On the right side, the tympanic membrane cannot be visualised as the ear canal is filled with a yellow discharge. What should be done in this situation?
Sarah, 35, has come to her doctor complaining of weakness on the left side of her face, which is confirmed upon examination. Sarah also reports experiencing ear pain and an otoscopy reveals vesicles on her tympanic membrane. What is the probable diagnosis?
As a foundation doctor in general practice, you assess a thirty-five-year-old woman who presents with complaints of dizziness. She reports that the symptoms worsen when she rolls over in bed and are accompanied by nausea. She denies any prior episodes, aural fullness, or nystagmus. What diagnostic measures could be taken to confirm the diagnosis?
A 25-year-old woman presents to her GP with recurrent, foul-smelling discharge from her right ear and decreased hearing on that side. She has been experiencing these episodes every few months, but now notices the discharge on most days. During childhood, she frequently swam and had grommet insertion for glue ear, which fell out when she was around 10 years old. She has no significant medical history and takes only the combined oral contraceptive pill.
After conducting hearing tests, the following results were obtained:
– Rinne’s test (right side): bone conduction > air conduction
– Rinne’s test (left side): air conduction > bone conduction
– Weber’s test: lateralisation to the right
What is the likely diagnosis?
A 43-year-old male patient presents with a chief complaint of hearing difficulty. During the examination, you perform Weber’s test and find that he hears the sound most loudly in his right ear. On conducting Rinne test, the sound is loudest when the tuning fork is placed in front of the ear canal on the left and loudest when placed on the mastoid process on the right. What type of hearing loss is evident in this case?
A 53-year-old man presents to his GP with vertigo and earache. He reports feeling that the room is spinning over the past 2 days. On examination, there is a left facial droop, the patient is unable to lift his left eyebrow, along with a vesicular rash around the left ear, the tympanic membrane looks healthy with a preserved cone of light. His heart rate is 78 bpm, blood pressure is 134/84 mmHg and temperature is 37.2ºC. He has a past medical history of type II diabetes mellitus for which he takes metformin.
What is the most appropriate treatment to commence?
A 75-year-old woman comes to the clinic with a painful swelling on the left side of her neck below the jaw angle that has been bothering her for the past 5 days. She also reports a bad taste in her mouth. During the physical examination, the patient has a temperature of 37.8ºC and a tender submandibular mass measuring 4x5cm. Additionally, there is tender lymphadenopathy. What is the probable diagnosis?
A 28-year-old female patient complains of sudden hearing loss in her left ear, accompanied by dizziness and a sensation of pressure in the affected ear. What results would you anticipate from the Rinne and Weber tests?
A 42-year-old man comes to your clinic complaining of ear pain. He had visited the emergency department 3 days ago but was only given advice. He has been experiencing ear pain for 5 days now.
During the examination, his temperature is 38.5ºC and his right ear drum is red and bulging. What is the appropriate management for this patient?