A 7-year-old girl comes to the emergency department with a 2-day history of right-sided otalgia and otorrhoea. Her mother suspects a middle ear infection as she has had them before. During the examination, she is found to be running a fever and has tenderness behind her right ear. The affected ear appears more prominent than the other, and otoscopy reveals a red tympanic membrane with a visible tear and pus discharge. What is the typical initial treatment for this probable diagnosis?
A 7-year-old girl is seen in clinic after falling off her scooter two hours ago. She fell forward and used her right arm to break her fall. Upon examination, she has minor scrapes on her right forearm but no indication of a fracture. Her nose is red and has some scrapes. Upon examination of her nostrils, there is a bilateral red swelling in the middle that is slightly soft. There are no other indications of a head injury. What is the best course of action?
A 38-year-old man presents to you with complaints of a persistent sensation of mucus in the back of his throat. He also reports a chronic cough for the past 6 months and frequently experiences bad breath, particularly in the mornings. He admits to smoking 10 cigarettes daily but otherwise feels fine. On examination, his ears appear normal, and his throat shows slight redness with no swelling of the tonsils. What is the most probable diagnosis?
A 32-year-old man complains of left ear pain and hearing loss for the past week. He is an avid swimmer. During examination, you observe pre-auricular lymph nodes on the left side. The ear is inflamed, red, and tender to touch. A small amount of yellow discharge is visible in the ear canal.
What is the initial treatment of choice after obtaining swabs?
A 35-year-old woman presents to your clinic with a history of recurrent episodes of dizziness characterized by a sensation of the entire room spinning around her. She reports feeling nauseous during these episodes but denies any hearing disturbance or tinnitus. The dizziness is not exacerbated by head movement and lasts for approximately 4-5 hours, with complete resolution in between episodes. She recalls having a viral illness the week prior to the onset of her symptoms. What is the most probable diagnosis?
A 35-year-old woman presents to her GP with complaints of excessive thirst and frequent urination. She is currently 20 weeks pregnant and this is her first pregnancy. Her BMI is 30 kg/m². The GP decides to conduct an oral glucose tolerance test to investigate the possibility of gestational diabetes.
What finding would confirm the suspicion of gestational diabetes in this case?
A 72-year-old man who smokes visits your GP clinic and inquires about potential complications associated with surgical resection of his malignant parotid gland tumour. What is the classic complication linked to parotid gland surgery?
Which of the following viruses is linked to nasopharyngeal carcinoma?
A 50-year-old woman presents to the ear, nose and throat clinic with a 4-month history of left-sided hearing loss. She reports occasional ringing in her left ear and feeling unsteady. She has a medical history of well-controlled type 1 diabetes and denies any recent infections.
During the examination, Rinne’s test is positive in both ears, and Weber’s test lateralizes to her right ear. There is no evidence of nystagmus, and her coordination is normal. Other than an absent left-sided corneal reflex, her cranial nerve examination is unremarkable.
What is the most likely diagnosis?
You assess a 75-year-old woman who is taking several medications. She reports experiencing hearing loss and bilateral tinnitus over the past few months. Which of the following medications could potentially be causing these symptoms?