You assess a 24-year-old female patient who complains of bilateral nasal obstruction, nocturnal cough, and clear nasal discharge for the past three weeks. She reports experiencing similar symptoms around the same time last year and has a medical history of asthma. What is the probable diagnosis?
A 58-year-old man complains of recurrent episodes of vertigo and dizziness. These episodes are usually triggered by a change in head position and usually last for about 30 seconds. The examination of the cranial nerves and ears shows no abnormalities. His blood pressure is 122/80 mmHg while sitting and 118/76 mmHg while standing. Assuming that the diagnosis is benign paroxysmal positional vertigo, what is the most suitable course of action to confirm the diagnosis?
Which medication is most effective in preventing Meniere’s disease attacks?
A 35-year-old female patient complains of recurring episodes of vertigo accompanied by a sensation of ‘fullness’ and ‘pressure’ in her ears. She believes her hearing is impaired during these episodes. Physical examination reveals no abnormalities. What is the probable diagnosis?
A 25-year-old male has been diagnosed with nasal polyps. Which medication sensitivity is commonly linked to this condition?
A 72-year-old man presents to your clinic complaining of left nostril blockage and frequent nosebleeds for the past 4 weeks. He has a medical history of well-controlled diabetes and hypertension and has a smoking history of 20 cigarettes per day since he was 18. He used to work in construction. During the examination, you observe a nasal polyp on the left side. What would be the most suitable course of action?
A 58-year-old woman presents to the emergency department with a 1-day history of facial paralysis. She also complains of some mild ear pain over the last 2 days. On examination, she has a fixed half-smile on the left side of her face. She is unable to raise her left eyelid and has increased sensitivity to sound in her left ear. She denies dizziness or vertigo. The remainder of her cranial nerve examination is normal. ENT examination shows an erythematous left ear canal and vesicles over her soft palate.
What is the most appropriate treatment to initiate for the likely diagnosis?
An 80-year-old man visits his doctor complaining of hearing loss in his right ear for the past month. During the examination, the doctor observes hard impacted wax in the affected ear. What are the expected outcomes of the Rinne and Weber’s tests?
A 28-year-old female presents to the ENT specialists with a 1-month-history of severe otalgia, temporal headaches, and purulent otorrhoea. She has a medical history of type one diabetes mellitus and no allergies. On examination, the left external auditory canal and periauricular soft tissue are erythematous and tender. What is the most suitable antibiotic treatment for this patient?
A 42-year-old man visits his GP complaining of a headache and thick nasal discharge that has persisted for six days. He reports the headache as a frontal pressure pain that worsens when he bends forward. He denies experiencing cough or general malaise. His vital signs are heart rate 62/min, respiratory rate 13/min, blood pressure 127/63 mmHg, and temperature 36.2 ºC. He has a medical history of asthma, which he manages with his salbutamol inhaler. What is the appropriate management plan for the most likely diagnosis?