Precise ENT
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ENT disorders and their treatment
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Laryngomalacia
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7 years old boy who present with history of sustained trauma to his throat while holding his pen. Present to ER with severe sore throat, pain during swallowing and fever. On examination, bulging in posterior pharyngeal wall. What is the diagnosis?
Anonymous Quiz
2%
A. Parotid abscess
14%
B. Parapharyngeal abscess
69%
C. Retropharyngeal abscess
2%
D. Submandibular abscess
12%
E. Peritonsilar abscess
⭕️Causes of retropharyngeal abscess.
✔️In children, upper respiratory infections usually occur before the onset of a retropharyngeal abscess.
📍For example, your child may first experience a middle or sinus infection.

✔️In older children and adults, a retropharyngeal abscess typically occurs after some type of trauma to the area.
📍This may include an injury, medical procedure, or dental work.
⭕️The symptoms of retropharyngeal abscess include:-

📍difficulty or noisy breathing.
📍difficulty swallowing.
📍pain when swallowing.
📍drooling.
📍fever.
📍cough.
📍severe throat pain.
📍neck stiffness or swelling.
📍muscle spasms in the neck.
A 14-year-old boy presents with recurrent nasal congestion and left suborbital pain of 2 weeks duration. 1 week prior to the onset of these symptoms, he described having a "cold." On physical exam, there is pain over the left maxillary sinus. A CT of the head is shown.
Answer is maxillary sinusitis
A 26-year-old woman presents to her primary care physician for severe dizziness spells. Her dizziness is described as the room is spinning, and it typically lasts a few minutes. Her symptoms are associated with nausea and "ear ringing." At times she feels like her left ear has decreased hearing. She denies any lightheadedness or palpitations. Physical examination is unremarkable. She is referred for audiometry testing and was urged to decrease her salt and caffeine intake. She is prescribed meclizine for symptomatic improvement.