ENT Conditions and Treatments

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Questions and Answers

What symptom did the 17-year-old girl NOT report?

  • Pain in the left side of the head
  • Hearing loss in the right ear (correct)
  • Severe pain in the left ear
  • Increase in temperature

What was observed during the otoscopy examination of the left ear?

  • No pathology at all
  • Normal appearance of the eardrum
  • Eardrum is hyperemic and bulging (correct)
  • Fluid accumulation in the middle ear

Which condition is most likely indicated by the patient's symptoms?

  • Eustachian tube dysfunction
  • Acute otitis media with perforation (correct)
  • Myringitis without infection
  • Chronic otitis media

Considering the symptoms and findings, how long has the girl been ill?

<p>4 days (B)</p> Signup and view all the answers

What might be a possible complication if the ear infection is untreated?

<p>Intracranial infection (B)</p> Signup and view all the answers

Which between chronic mesotympanitis and chronic epitympanitis is more likely to show signs of long-term inflammation?

<p>Chronic epitympanitis (C)</p> Signup and view all the answers

Which condition is characterized by the presence of fluid in the middle ear without infection?

<p>Exudative otitis media (A)</p> Signup and view all the answers

Which diagnosis is most likely to present sudden onset of ear pain and fever?

<p>Acute suppurative otitis media (A)</p> Signup and view all the answers

Which of the following conditions is typically associated with recurrent ear infections?

<p>Chronic mesotympanitis (A)</p> Signup and view all the answers

Which condition would likely require surgical intervention if conservative management fails?

<p>Chronic mesotympanitis (C)</p> Signup and view all the answers

What is the most likely cause of shortness of breath and hoarseness in this 7-year-old boy?

<p>Laryngeal edema (D)</p> Signup and view all the answers

Which characteristic of the boy's voice suggests a specific diagnosis?

<p>High-pitched clear voice when crying (A)</p> Signup and view all the answers

What laryngoscopic finding would most likely be observed in this patient?

<p>Edematous vocal cords (D)</p> Signup and view all the answers

Which symptom is least likely related to the boy's laryngeal condition?

<p>Persistent fever (C)</p> Signup and view all the answers

In cases of laryngeal edema, which symptom would most likely develop if the condition worsens?

<p>Increased respiratory distress (B)</p> Signup and view all the answers

What is the most advisable tactic for managing formations in the context provided?

<p>Endolaryngeal removal of formations (D)</p> Signup and view all the answers

Which of the following treatments is least likely to be effective for managing the formations?

<p>Physiotherapy (B)</p> Signup and view all the answers

Which option is considered a less advisable tactic for treating formations compared to endolaryngeal removal?

<p>Laryngofissure (A)</p> Signup and view all the answers

What is a common treatment for formations other than endolaryngeal removal?

<p>Laryngofissure (C)</p> Signup and view all the answers

Which of the following lubricating treatments might be advised but is not the best option?

<p>Lubrication of formations with hydrocortisone (D)</p> Signup and view all the answers

What is the most serious complication associated with rhinogenic conditions?

<p>Rhinogenic thrombosis of the cavernous sinus (C)</p> Signup and view all the answers

Which of the following complications is NOT typically related to rhinogenic infections?

<p>Rhinogenic jaw infection (B)</p> Signup and view all the answers

In a patient with rhinogenic infection, which complication could result from untreated conditions?

<p>Rhinogenic thrombosis of the cavernous sinus (C)</p> Signup and view all the answers

Which complication primarily affects the protective membranes surrounding the brain?

<p>Rhinogenic meningitis (D)</p> Signup and view all the answers

Which of the following is a possible outcome of a serious rhinogenic infection leading to systemic infection?

<p>Rhinogenic sepsis (D)</p> Signup and view all the answers

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Study Notes

Acute Suppurative Otitis Media

  • A 17-year-old girl presented with severe left ear pain, hearing loss, and headache after suffering from acute respiratory infections.
  • Otoscopic examination revealed a hyperemic and bulging left eardrum with a perforation point.
  • This clinical presentation strongly suggests acute suppurative otitis media, an infection of the middle ear.

Laryngeal Papilloma

  • A 7-year-old boy exhibited shortness of breath and hoarseness, with a clear voice when crying in high tones and a resonant cough.
  • This suggests the presence of laryngeal papillomas, benign growths that can obstruct the airway.
  • The recommended treatment for laryngeal papillomas is endolaryngeal removal of the formations to improve airway patency.

Rhinogenic Sepsis

  • Rhinogenic sepsis is the most likely complication of a rhinogenic infection, which is a bacterial infection that originates in the nasal cavity.
  • Rhinogenic sepsis is a serious condition where bacteria from the nasal cavity enter the bloodstream and spread throughout the body, causing a systemic infection.

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