A 25 year old male patient complained of sore throat fever and bilateral earache of 3 days duration.
He then developed very high fever 40 C, severe left earache, inability to open the mouth, drooling of saliva and a minimal difficulty in respiration.
-What is the diagnosis?
-How do you treat this patient?
He then developed very high fever 40 C, severe left earache, inability to open the mouth, drooling of saliva and a minimal difficulty in respiration.
-What is the diagnosis?
-How do you treat this patient?
A 7 year old boy was referred to an ENT specialist who noticed nasal intonation of voice and bilateral nasal obstruction.
The mother reported that her child snores during his sleep and has repeated attacks of chest infection.
-What is the diagnosis?
-What are the appropriate investigations?
-How do you treat this patient?
The mother reported that her child snores during his sleep and has repeated attacks of chest infection.
-What is the diagnosis?
-What are the appropriate investigations?
-How do you treat this patient?
A 5 year old child underwent an adenotonsilectomy operation.On discharge from the recovery room, the child was conscious, blood pressure 110/80, pulse rate 100/min and the respiratory rate 16/min.
Four hours later, the nurse reported to the resident that the pulse rate became 140/min, blood pressure 100/70 and the child vomited 150 cc of blood.
-What is the diagnosis?
-How do you treat this patient?
Four hours later, the nurse reported to the resident that the pulse rate became 140/min, blood pressure 100/70 and the child vomited 150 cc of blood.
-What is the diagnosis?
-How do you treat this patient?
A child 4 years old presented to an ENT specialist because of snoring of two years duration.His mother reported that her son has persistent mucoid nasal discharge that becomes sometimes purulent.
For the last month, she began to notice that he does not respond to sounds as before.Both drum membranes were found intact.
-What is the diagnosis?
For the last month, she began to notice that he does not respond to sounds as before.Both drum membranes were found intact.
-What is the diagnosis?
Precise ENT
A 25 year old male patient complained of sore throat fever and bilateral earache of 3 days duration. He then developed very high fever 40 C, severe left earache, inability to open the mouth, drooling of saliva and a minimal difficulty in respiration. -What…
🖇 Diagnosis.
Acute follicular tonsillitis (sore throat, fever and bilateral earache) complicated by left peritonsillar abscess (quinsy) (high fever 40 C, localized left earache, inability to open the mouth and drooling of saliva.
🖇 Treatment.
1.Drainage of the quinsy.
2.Medical treatment for acute tonsillitis.
3.Tonsillectomy is indicated after 2-3 weeks.
Acute follicular tonsillitis (sore throat, fever and bilateral earache) complicated by left peritonsillar abscess (quinsy) (high fever 40 C, localized left earache, inability to open the mouth and drooling of saliva.
🖇 Treatment.
1.Drainage of the quinsy.
2.Medical treatment for acute tonsillitis.
3.Tonsillectomy is indicated after 2-3 weeks.
Precise ENT
A 7 year old boy was referred to an ENT specialist who noticed nasal intonation of voice and bilateral nasal obstruction. The mother reported that her child snores during his sleep and has repeated attacks of chest infection. -What is the diagnosis? -What…
🖇 Diagnosis.
Adenoid enlargement (bilateral nasal obstruction, nasal intonation of voice).
📍Repeated attacks of chest infection=due to nasal obstruction the child is a mouth breather and air inspired is not cleaned or conditioned by the nose and so causes chest infection, also the enlarged adenoid is infected and causes a descending chest infection.
🖇 Investigation.
X-ray lateral view skull to show the enlarged adenoid and the narrowed or obstructed airway.
🖇 Treatment.
-Medical treatment for 6 weeks.
-If fail: adenoidectomy.
Adenoid enlargement (bilateral nasal obstruction, nasal intonation of voice).
📍Repeated attacks of chest infection=due to nasal obstruction the child is a mouth breather and air inspired is not cleaned or conditioned by the nose and so causes chest infection, also the enlarged adenoid is infected and causes a descending chest infection.
🖇 Investigation.
X-ray lateral view skull to show the enlarged adenoid and the narrowed or obstructed airway.
🖇 Treatment.
-Medical treatment for 6 weeks.
-If fail: adenoidectomy.
Precise ENT
A 5 year old child underwent an adenotonsilectomy operation.On discharge from the recovery room, the child was conscious, blood pressure 110/80, pulse rate 100/min and the respiratory rate 16/min. Four hours later, the nurse reported to the resident that the…
🖇 Diagnosis.
Reactionary post tonsillectomy hemorrhage (4 hours after an adenotonsillectomy operation, rising pulse, vomiting of 150 cc of blood).
🖇 Treatment.
-Antishock measures (fluid and blood transfusion, steroids).
-Rapid control of bleeding by readmitting to the operation room and controlling the bleeding which could be either from the adenoid site or the tonsil bed.
Reactionary post tonsillectomy hemorrhage (4 hours after an adenotonsillectomy operation, rising pulse, vomiting of 150 cc of blood).
🖇 Treatment.
-Antishock measures (fluid and blood transfusion, steroids).
-Rapid control of bleeding by readmitting to the operation room and controlling the bleeding which could be either from the adenoid site or the tonsil bed.
Precise ENT
A child 4 years old presented to an ENT specialist because of snoring of two years duration.His mother reported that her son has persistent mucoid nasal discharge that becomes sometimes purulent. For the last month, she began to notice that he does not respond…
Adenoid hypertrophy complicated by bilateral otitis media with effusion is due to eustachian tube obstruction and subsequent otitis media with effusion.
Precise ENT
-What is the diagnosis? -Name the possible differential diagnosis.
🖇Squamous cell carcinoma of right tonsil.
🖇Tonsillitis, aphthous ulcer, benign oropharyngeal lesion ...ect.
🖇Tonsillitis, aphthous ulcer, benign oropharyngeal lesion ...ect.
Common ototoxic drugs.
🖇Aminoglycoside antibiotics. -Streptomycin.
-Gentamycin.
-Tobramycin.
-Neomycin.
-Kanamycin.
-Amikacin.
🖇Diuretics.
-Loop diuretics.
🖇Antimalarials.
-Quinine.
-Chloroquine.
🖇Cytotoxic drugs.
-Cisplatin.
-Carboplatin.
🖇Analgesics.
-Salicylates.
-Indomethacin.
-Iboprofen.
🖇Chemicals.
-Alcohol.
-Tobacco.
-Marijuana.
🖇Miscellaneous.
-Erythromycin.
-Ampicillin.
-Propranolol.
🖇Aminoglycoside antibiotics. -Streptomycin.
-Gentamycin.
-Tobramycin.
-Neomycin.
-Kanamycin.
-Amikacin.
🖇Diuretics.
-Loop diuretics.
🖇Antimalarials.
-Quinine.
-Chloroquine.
🖇Cytotoxic drugs.
-Cisplatin.
-Carboplatin.
🖇Analgesics.
-Salicylates.
-Indomethacin.
-Iboprofen.
🖇Chemicals.
-Alcohol.
-Tobacco.
-Marijuana.
🖇Miscellaneous.
-Erythromycin.
-Ampicillin.
-Propranolol.
•Blunt trauma to the ear causes its separation, allowing for blood to collect and form a hematoma.
•If the blood is not drained, the collection causes infection or cartilage necrosis, leading to perichondritis, and ultimately causing the cosmetic complication of what is known as cauliflower ear.
•If the blood is not drained, the collection causes infection or cartilage necrosis, leading to perichondritis, and ultimately causing the cosmetic complication of what is known as cauliflower ear.