Pediatrics Questions Channel đđ
Cholesteatoma may extend into which adjacent structure causing further complications?
Cholesteatoma is best described as:
Anonymous Quiz
60%
Benign keratinizing squamous epithelium growth
24%
Malignant middle ear tumor
5%
Viral inner ear infection
10%
Congenital ossicular defect
TEF with EA is most commonly associated with which syndrome?
Anonymous Quiz
13%
Down syndrome
67%
VACTERL association
10%
Turner syndrome
10%
Marfan syndrome
Forwarded from Black Lion | School of Medicine đđ
Condyloma lata occur in which stage of syphilis?
Anonymous Quiz
13%
Primary
51%
Secondary
11%
Latent
25%
Tertiary
Why is echocardiography important in TEF with EA?
Anonymous Quiz
6%
To assess lung hypoplasia
79%
To detect congenital heart defects
13%
To evaluate esophageal patency
1%
To assess pulmonary hypertension
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Laryngomalacia is primarily caused by:
Anonymous Quiz
14%
Fixed subglottic narrowing due to congenital cartilage rigidity
52%
Dynamic collapse of supraglottic structures during inspiration
22%
Neuromuscular weakness of the vocal cords during expiration
11%
Inflammatory edema of the subglottic airway in infancy
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The stridor in laryngomalacia typically:
Anonymous Quiz
12%
Is expiratory and worsens in prone positioning
71%
Is inspiratory and worsens in supine positioning
13%
Is biphasic and independent of body position
4%
Is intermittent and triggered by upper respiratory infection
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Forwarded from Files for Pediatrics and OBGYN | Black Lion đđ
đĻģ 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.
âī¸ Key pathology
Expands and erodes bone
Affects ossicles, mastoid air cells, sometimes facial nerve
đ Clinical features
Foul-smelling chronic ear discharge
Painless progressive conductive hearing loss
Ear fullness
đ Diagnosis
Otoscopy: pearly white mass
CT temporal bone: bone erosion
đ Treatment
Surgical removal
đ¨ Complications
Conductive hearing loss
Mastoiditis
Facial nerve palsy
Intracranial infection
âī¸ Key clue
Chronic foul-smelling discharge + painless hearing loss = cholesteatoma until proven otherwise
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.
âī¸ Key pathology
Expands and erodes bone
Affects ossicles, mastoid air cells, sometimes facial nerve
đ Clinical features
Foul-smelling chronic ear discharge
Painless progressive conductive hearing loss
Ear fullness
đ Diagnosis
Otoscopy: pearly white mass
CT temporal bone: bone erosion
đ Treatment
Surgical removal
đ¨ Complications
Conductive hearing loss
Mastoiditis
Facial nerve palsy
Intracranial infection
âī¸ Key clue
Chronic foul-smelling discharge + painless hearing loss = cholesteatoma until proven otherwise
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The peak severity period of laryngomalacia is:
Anonymous Quiz
30%
First 6 weeks of life with rapid spontaneous resolution
21%
After 18 months with progressive worsening over time
9%
Around 12 months with persistent symptoms into childhood
39%
Four to eight months of age with gradual improvement thereafter
Laryngoscopic finding most consistent with laryngomalacia is:
Anonymous Quiz
7%
Fixed posterior glottic web with reduced vocal cord mobility
63%
Omega-shaped epiglottis with inspiratory supraglottic collapse
8%
Diffuse subglottic granulation tissue with airway narrowing
22%
Paradoxical vocal cord motion during inspiration and expiration
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Most appropriate initial management for uncomplicated laryngomalacia is:
Anonymous Quiz
3%
Early surgical airway intervention with tracheostomy planning
10%
Routine antibiotic therapy to reduce upper airway inflammation
79%
Conservative management with observation and reflux control measures
8%
Inhaled corticosteroids with scheduled bronchoscopy follow-up
Forwarded from Files for Pediatrics and OBGYN | Black Lion đđ
đĻģ LARYNGOMALACIA | SOMedEd
đĻģ Laryngomalacia is the most common cause of inspiratory stridor in infants.
It occurs due to collapse of the supraglottic tissues during inspiration, leading to noisy breathing that typically worsens when the baby is supine and improves when prone.
đ Laryngoscopy may show the classic omega-shaped epiglottis (Ί).
Most cases are mild and resolve spontaneously by 18 months with reassurance and close follow-up. Concurrent gastroesophageal reflux should also be managed when present.
đĻģ Laryngomalacia is the most common cause of inspiratory stridor in infants.
It occurs due to collapse of the supraglottic tissues during inspiration, leading to noisy breathing that typically worsens when the baby is supine and improves when prone.
đ Laryngoscopy may show the classic omega-shaped epiglottis (Ί).
Most cases are mild and resolve spontaneously by 18 months with reassurance and close follow-up. Concurrent gastroesophageal reflux should also be managed when present.
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The most common suppurative complication of AOM is:
Anonymous Quiz
11%
Labyrinthitis
65%
Acute mastoiditis
6%
Facial palsy
18%
Brain abscess
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Mastoid tenderness with ear displacement suggests:
Anonymous Quiz
12%
Otitis externa
70%
Acute mastoiditis
14%
Cholesteatoma
4%
Viral labyrinthitis
đ2
đ Acute Mastoiditis | SOMedEd
đĻģ Acute mastoiditis is the most common suppurative complication of acute otitis media.
It presents with fever, postauricular tenderness/swelling, a bulging tympanic membrane, and outward displacement of the ear.
đ Consider mastoiditis in any child with acute otitis media who develops tenderness behind the ear.
đĻģ Acute mastoiditis is the most common suppurative complication of acute otitis media.
It presents with fever, postauricular tenderness/swelling, a bulging tympanic membrane, and outward displacement of the ear.
đ Consider mastoiditis in any child with acute otitis media who develops tenderness behind the ear.
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Forwarded from Black Lion | School of Medicine đđ
Is vitamin toxicity more likely with water-soluble or fat-soluble vitamins?
Anonymous Quiz
30%
Water-soluble vitamins
70%
Fat-soluble vitamins
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