Pediatrics Questions Channel 💉💊
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đŸŠē Daily Pediatrics Q&A | Clinical Scenarios | Evidence-based Notes | For Med Students & Practitioners.

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Congenital rubella may cause developmental delay due to:
Anonymous Quiz
93%
CNS involvement
2%
Kidney stones
0%
Appendicitis
5%
Iron deficiency
👍2
Most common eye lesion in congenital toxoplasmosis?
Anonymous Quiz
19%
Cataract
63%
Chorioretinitis
7%
Glaucoma
10%
Optic nerve hypoplasia
❤2
Most definitive diagnostic test for congenital toxoplasmosis in newborn?
Anonymous Quiz
62%
PCR
5%
CBC
29%
Urine culture
4%
ESR
❤2
Cholesteatoma most commonly causes which type of hearing loss?
Anonymous Quiz
24%
Sensorineural hearing loss
58%
Conductive hearing loss
14%
Mixed hearing loss
5%
Central hearing loss
👍2
TEF with EA is most commonly associated with which syndrome?
Anonymous Quiz
12%
Down syndrome
68%
VACTERL association
10%
Turner syndrome
10%
Marfan syndrome
Condyloma lata occur in which stage of syphilis?
Anonymous Quiz
13%
Primary
51%
Secondary
11%
Latent
25%
Tertiary
đŸĻģ CHOLESTEATOMA | SOMedEd

Cholesteatoma is a collection of keratinizing squamous epithelium in the middle ear. It is not malignant but is locally destructive.

Usually follows chronic otitis media or a retraction pocket where skin gets trapped.

âš™ī¸ Key pathology
Expands and erodes bone
Affects ossicles, mastoid air cells, sometimes facial nerve

👂 Clinical features
Foul-smelling chronic ear discharge
Painless progressive conductive hearing loss
Ear fullness

🔍 Diagnosis
Otoscopy: pearly white mass
CT temporal bone: bone erosion

🛠 Treatment
Surgical removal

🚨 Complications
Conductive hearing loss
Mastoiditis
Facial nerve palsy
Intracranial infection

â­ī¸ Key clue
Chronic foul-smelling discharge + painless hearing loss = cholesteatoma until proven otherwise
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