⭕️Mastoiditis (acute and chronic) is a bacterial infection of the mastoid cells in the mastoid bone, which is located just behind the ear.

⭕️Mastoiditis can become serious if the infection spreads outside the mastoid bone.

⭕️Symptoms of acute mastoiditis include: pain in or behind the ear and swelling of the area behind the ear.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3783288/#:~:text=Nasopharyngeal%20cancer%20in%20Sudan%20has,is%20required%20in%20future%20studies.

دي paper اتعملت في السودان عن الNPC ممكن تطلعو عليها فيها حاجات interesting about Sudanese population زي انو هتلاقو اكتر مكان فيهو NPC هي الwest Sudan.... البحث اتعمل في مستشفى الخرطوم اللي اشتغلنا فيها الراوندات

دي paper لدكتور ابوسفيان ❤️ عن الNPC في السودان برضو 🙌

شرح للnasal pyriform stenosis لو ما وضحت ليكم فوق في الCT 🙌

Adenotonsillectomy by electrocauttery procedure

https://europepmc.org/article/med/18626521
دي برضو ورقه علميه عن سرطان البلعوم الانفي (NPC)عملناها بجامعه الجزيرة

The correct answer is C Gastroesophageal reflux disease (GERD).

⭕️Explanations for this answer.
كلنا عارفين انو by age of 20 years الtonsil بحصل ليها atrophy.... ففي عمر 40 سنه صعب المريض يحصل ليهو tonsillitis...والage دا برضو هوا دا اكتر عمر لحدوث مرض الGERD دي اول حاجة.... تاني حاجه عشان تقدر تصل التشخيص الصح انو الsymptoms اللي جا بيها المريض cough and sore throat ودي indicate انو الgastric acid طلع لغايه الthroat وعمل Irritation اللي تسبب لي في الكحة وعمل inflammation للtonsills عشان كدا بقت enlarged.
So the most important thing you should know as GP.
✔️Note: suspect GERD in any patient above age of 40 years with symptoms and signs of tonsillitis.

This picture is from Precise ENT book and it's protected by copyright ©

Good opinion towarks logic thinking beside GERD
At age think also on malignace
&leukamia

The book is now available in Amazon UAE 🇦🇪

الكتاب متوفر الان في أمازون الإمارات 🇦🇪

Link below
https://amzn.to/3wLZutN

The book is now available in Sudan 🇸🇩 and UAE 🇦🇪
In UAE: Alfalah library
In Sudan
University library... Khartoum Buri infront of Khartoum book fair
To contact library
Phone number: +249122220455
Email: ubsudan@ Hotmail.com
الكتاب متوفر الان في السودان 🇸🇩 والإمارات 🇦🇪
في الإمارات: مكتبه دار الفلاح
في السودان: مكتبه الجامعه... الخرطوم بري أمام معرض الخرطوم الدولي للكتاب
للتواصل مع المكتبه
رقم تلفون: +249122220455
الايميل:ubsudan@ Hotmail.com

هنشتغل الخمسه الايام الجايه بطريقه long problem ENT cases وهتكون بإذن الله علي الكيسات الcommon اللي بتلاقيكم بعدين as GP السوال الواحد هيكون فيهو كم سوال ويا رب تستفيدو منها ❤️🙌

⭕️Case 1.
10 years old child present with right mucopulrent ear discharge for the last 4 years. A week ago he became dizzy with whirling sensation, nausea vomiting and nystagmus to the opposite side. His deafness become complete and his temperature was normal. Three days later he become feverish, irritable and continously cry due to persistent headaches. Also he had some head retraction. The child was not manged properly and died at the end of the week.