Medical Conditions of Throat and Ear
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Questions and Answers

What classification best describes the two main groups of pharyngeal injuries?

  • limited, common
  • independent, mixed
  • injury above and below the hyoid bone
  • closed, open (correct)
  • What was the likely complication of the esophagoscopy that led to the sudden death of the patient?

  • aortic injuries
  • laryngeal edema
  • posttraumatic esophagitis (correct)
  • damage to the pharynx
  • Based on the symptoms described, what is the most likely diagnosis for the patient with painful swelling in the left auricle?

  • outer ear furuncle
  • otgematoma (correct)
  • acute otitis media
  • chondroperichonritis of the auricle
  • What condition is most likely indicated by the cone-shaped swelling at the entrance to the external auditory canal?

    <p>furuncle of the outer ear</p> Signup and view all the answers

    In the case of the 9-year-old child with a sore throat, which diagnosis is most consistent with the symptoms observed?

    <p>paratonsillar abscess</p> Signup and view all the answers

    What should be done to clarify the diagnosis for the patient complaining of hoarse voice and difficulty breathing post-surgery?

    <p>conduct a laryngoscopy</p> Signup and view all the answers

    Which of these conditions is characterized by significant body temperature elevation and displacement of the amygdala observed during pharyngoscopy?

    <p>paratonsillar abscess</p> Signup and view all the answers

    A patient with a history of a strumectomy presents with hoarseness and breathing difficulty. What is the first possible concern?

    <p>vocal cord paralysis</p> Signup and view all the answers

    Which diagnosis is least likely in a patient with a cone-shaped swelling covered with reddened skin at the external auditory canal?

    <p>acute otitis media</p> Signup and view all the answers

    What is a common consequence of performative esophageal treatment such as esophagoscopy with perforation?

    <p>fistula formation</p> Signup and view all the answers

    What is the most likely diagnosis for a patient with a barking cough and inspiratory shortness of breath?

    <p>laryngeal angina</p> Signup and view all the answers

    Which symptom is commonly associated with false croup?

    <p>barking cough</p> Signup and view all the answers

    What is a key indication for performing a tracheotomy in cases of acute stenosis?

    <p>decompensation</p> Signup and view all the answers

    What is the leading symptom of phlegmonous laryngitis?

    <p>severe sore throat when swallowing and talking</p> Signup and view all the answers

    What characterizes the pus localization in a paratonsillar abscess?

    <p>inside the palatal roller</p> Signup and view all the answers

    Which condition is indicated by dense, dirty-gray plaque on the tonsils and surrounding areas?

    <p>pharyngeal diphtheria</p> Signup and view all the answers

    What symptom is most characteristic of a posterior paratonsillar abscess?

    <p>asymmetry of the pharynx due to hyperemia of the posterior arch</p> Signup and view all the answers

    Which of the following is a contraindication to the immediate reposition of a nose fracture?

    <p>concussion of the brain</p> Signup and view all the answers

    Which body part is most likely to be the site of a foreign body in the pharynx?

    <p>palatine tonsil</p> Signup and view all the answers

    What is the most important therapeutic measure for treating an epiglottis abscess?

    <p>opening with a Tobold knife</p> Signup and view all the answers

    What is the most effective treatment for subcutaneous emphysema of the neck after tracheotomy?

    <p>wide opening of the skin wound</p> Signup and view all the answers

    Which pathway of infection specifically affects the maxillary sinus?

    <p>odontogenic</p> Signup and view all the answers

    Based on the symptoms of difficulty breathing and swelling on the epiglottis, what is the most likely diagnosis?

    <p>allergic laryngeal edema</p> Signup and view all the answers

    Given the symptoms of a sore throat, knee joint pain, and white insular deposits on tonsils, what is the most plausible diagnosis?

    <p>lacunar angina</p> Signup and view all the answers

    Considering the patient's symptoms of sharp throat pain, general weakness, and white pinhead-sized rashes on tonsils, what is the likely diagnosis?

    <p>follicular angina</p> Signup and view all the answers

    What is the most likely diagnosis for a patient experiencing sharp right-sided throat pain and swelling of the tongue?

    <p>paratonsillar abscess</p> Signup and view all the answers

    What is the most likely diagnosis for a patient with a cockroach fragment found in the auditory canal?

    <p>foreign body of the external auditory canal</p> Signup and view all the answers

    Which complication can arise from a nasal boil observed in a young patient?

    <p>cavernous sinus thrombosis</p> Signup and view all the answers

    What diseases of the nose and paranasal sinuses are known to lead to intracranial complications?

    <p>nasal boil</p> Signup and view all the answers

    What is the most likely diagnosis for a patient with purulent discharge and pain associated with the right maxillary sinus after two weeks?

    <p>acute purulent sinusitis</p> Signup and view all the answers

    Study Notes

    Pharyngeal Injuries

    • Pharyngeal injuries are categorized as either closed or open.

    Esophageal Perforation Case Study

    • A patient experiencing esophageal perforation after a foreign body removal procedure, resulted in a fatal complication from profuse bleeding.

    Otitis and Auricular Conditions

    • Otic hematoma: A bluish-red swelling, potentially painful, in the auricle, following trauma.
    • Furuncle of the outer ear: A cone-shaped swelling with reddened skin in the external auditory canal.
    • Chondroperichondritis of the auricle: Inflammation of the cartilage and perichondrium of the auricle.
    • **
    • Paratonsillar abscess: Inflammation and pus accumulation near the tonsils, characterized by trismus, displacement of the tonsil, hyperemia, and pain in the submandibular lymph nodes.
    • Lacunar angina: White plaques within tonsil crypts.
    • Follicular tonsillitis: White spots on the surface of the tonsils.

    Laryngeal Conditions

    • Acute stenosing laryngotracheitis (croup): In children, sudden onset of difficult/noisy breathing, bark-like cough, and inspiratory stridor, potentially progressing to respiratory distress.
    • Allergic laryngeal edema: Swelling of the vocal cords and surrounding structures, typically after a food allergy.
    • Acute laryngitis: Hoarseness and difficulty breathing during physical exertion, potentially from surgery or prolonged exposure to dust/smoke/viruses.
    • Subglottic laryngitis: (Not specifically listed, but inferred from case description).
    • Epiglottitis: Inflammatory swelling of the epiglottis.

    Neck and Facial Conditions

    • Subcutaneous emphysema: Air trapped beneath the skin, often following procedures like tracheotomy.
    • Nasal boil complications: Serious complications, such as cavernous sinus thrombosis, can develop.

    Sinusitis

    • Acute purulent sinusitis: Pus buildup in the maxillary sinus, characterized by nasal discharge, difficulty breathing through the nose, and pain when palpating the sinus.

    Tonsil Conditions

    • Pharyngeal candidiasis: Plaques on tonsils that do not respond to antibiotics.

    Other Conditions

    • Foreign body of the external auditory canal: Cockroach fragments found in the ear canal.
    • Foreign body of the pharynx: Objects lodged in the throat, often manifesting as sore throat and dysphagia.

    Laryngeal Stenosis

    • False croup: A common cause of acute laryngeal stenosis in young children, characterized by barking cough and respiratory distress.
    • Acute laryngitis: Inflammation of the larynx can obstruct airflow.

    Differential Diagnoses

    • Pharyngitis vs. tonsillitis: Importance of distinguishing symptoms like pain, exudates, location, and lymph node involvement.
    • Acute laryngitis: inflammation of the larynx.

    Treatment Considerations

    • Foreign body removal: Prompt intervention for foreign bodies in the airway and swallowing, depending on the location.
    • Antibiotic treatment: Crucial role in infections.
    • Tracheotomy: Critical intervention for severe airway obstruction.

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    Description

    This quiz covers various medical conditions related to the throat and ear, including pharyngeal injuries, esophageal perforations, and different types of otitis. Test your knowledge on the symptoms, causes, and complications of these conditions, as well as related issues like tonsillitis. Enhance your understanding of these crucial health topics.

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