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A 37 years old man presents with hearing loss and a painful intermittent purulent discharge from his right ear. He also reports intermittent dizziness, and tinnitus in the right ear. On otoscopy, he has an attic crust on his right tympanic membrane, Otoscopic examination reveals keratin in an attic retraction pocket. Sound localizes to his right ear on Weber test and Rinne test reveals that bone conduction one the right. What potential sequelae do you need to be concerned about?

January 5, 2021 4:47 am Published by

Hearing loss, ossicular erosion, temporal bone infection (mastoiditis, petrositis), facial palsy, paralysis, meningitis and intracranial abscess

A 37 years old man presents with hearing loss and a painful intermittent purulent discharge from his right ear. He also reports intermittent dizziness, and tinnitus in the right ear. On otoscopy, he has an attic crust on his right tympanic membrane, Otoscopic examination reveals keratin in an attic retraction pocket. Sound localizes to his right ear on Weber test and Rinne test reveals that bone conduction one the right. What are the most important differential diagnoses?

January 5, 2021 4:46 am Published by

Of the relevant differential diagnoses, it is important to rule out otitis (AOE, AOM, effusion) and foreign body obstruction.

A 37 years old man presents with hearing loss and a painful intermittent purulent discharge from his right ear. He also reports intermittent dizziness, and tinnitus in the right ear. On otoscopy, he has an attic crust on his right tympanic membrane, Otoscopic examination reveals keratin in an attic retraction pocket. Sound localizes to his right ear on Weber test and Rinne test reveals that bone conduction one the right. What is the most likely diagnosis?

January 5, 2021 4:45 am Published by

Cholesteatoma

A 56 years old woman presents with a 3-week history of imbalance, right-sided hearing loss, and tinnitus. She reports having an upper respiratory infection 1 week before the onset of her symptoms. Her symptoms began with a severe episode of room-spinning vertigo with associated nausea and vomiting that lasted all day. The next day she noticed right-sided, high pitched tinnitus and was unable to use the telephone in her right ear. She now reports constant imbalance and slight vertigo with quick head turns to the right. What potential sequelae do you need to be concerned about?

January 5, 2021 4:44 am Published by

Cochlear ossification, cholesteatoma, mastoiditis and meningitis

A 56 years old woman presents with a 3-week history of imbalance, right-sided hearing loss, and tinnitus. She reports having an upper respiratory infection 1 week before the onset of her symptoms. Her symptoms began with a severe episode of room-spinning vertigo with associated nausea and vomiting that lasted all day. The next day she noticed right-sided, high pitched tinnitus and was unable to use the telephone in her right ear. She now reports constant imbalance and slight vertigo with quick head turns to the right. What are the most important differential diagnoses?

January 5, 2021 4:43 am Published by

Of the relevant differential diagnoses, it is important to rule out acoustic neuroma, cholesteatoma, vestibular neuronitis, Meniere’s disease and multiple... View Article

A 56 years old woman presents with a 3-week history of imbalance, right-sided hearing loss, and tinnitus. She reports having an upper respiratory infection 1 week before the onset of her symptoms. Her symptoms began with a severe episode of room-spinning vertigo with associated nausea and vomiting that lasted all day. The next day she noticed right-sided, high pitched tinnitus and was unable to use the telephone in her right ear. She now reports constant imbalance and slight vertigo with quick head turns to the right. What is the most likely diagnosis?

January 5, 2021 4:42 am Published by

Labyrinthitis

An 18 months old toddler presents with 1 week of rhinorrhea, cough and congestion. Her parents report she has been irritable, sleeping restlessly, and not eating well. On examination, the toddler appears irritable and apprehensive. She is febrile and has signs of a viral respiratory infection, including rhinorrhea and congestion. Otoscopy reveals a bulging, erythematous landmarks. History reveals that she has had all her vaccination, attends day care and both parents smoke. What potential sequelae do you need to be concerned about?

January 5, 2021 4:41 am Published by

Tympanic membrane perforation, chronic suppurative otitis media, ossicular necrosis, cholesteatoma, mastoiditis, labyrinthitis, meningitis and CN VII paralysis

An 18 months old toddler presents with 1 week of rhinorrhea, cough and congestion. Her parents report she has been irritable, sleeping restlessly, and not eating well. On examination, the toddler appears irritable and apprehensive. She is febrile and has signs of a viral respiratory infection, including rhinorrhea and congestion. Otoscopy reveals a bulging, erythematous landmarks. History reveals that she has had all her vaccination, attends day care and both parents smoke. What are the most important differential diagnoses?

January 5, 2021 4:40 am Published by

Of the relevant differential diagnoses, it is important to rule out mastoiditis, cholesteatoma, otosclerosis, tympanosclerosis, tympanic membrane perforation and foreign... View Article

An 18 months old toddler presents with 1 week of rhinorrhea, cough and congestion. Her parents report she has been irritable, sleeping restlessly, and not eating well. On examination, the toddler appears irritable and apprehensive. She is febrile and has signs of a viral respiratory infection, including rhinorrhea and congestion. Otoscopy reveals a bulging, erythematous landmarks. History reveals that she has had all her vaccination, attends day care and both parents smoke. What is the most likely diagnosis?

January 5, 2021 4:38 am Published by

Otitis media

A 4 years old boy presents complaints of dysphagia, fever, drooling, and muffled voice. Symptoms have progressively worsened over the course of the day. He is toxic-appearing, and leans forward while sitting on his mother’s lap. He is drooling, and speaks with a muffled “hot potato” voice. The parents deny trauma or evidence of foreign body ingestion. What potential sequelae do you need to be concerned about?

January 5, 2021 4:37 am Published by

Mediastinitis, airway obstruction and hypoxia