56 years old, diabetic male, came complaining of severe pain in the Rt ear, with mild deafness, examination revealed edema in the canal with purulent discharge, tympanic membrane was normal, Rt mastoid region was severely tender. A: what is your provisional diagnosis? B: what are the suggested investigations? C: what are the complications if patient left untreated? D: how would you treat this patient? 32 years old male had a motor car accident, with head trauma, immediately after the trauma his family noticed bloody discharge coming from the Lt ear, on examination the tympanic membrane was perforated, patient also had partial LMNL of the Lt facial nerve. A: how urgent is the case, and why? B: what is the expected pathology? C: what is your protocol of management? 23 years old female, complaining of dysphagia of 2 years duration, more to solids, recently the condition progressed rapidly to become severe Examination revealed wt loss, froth in the Rt piriform fossa, and splenomegaly A: what is your diagnosis? B: what are the needed investigations? C: how can you treat this patient?
Transcript
56 years old, diabetic male, came complaining of severe
pain in the Rt ear, with mild deafness, examination
revealed edema in the canal with purulent discharge,
tympanic membrane was normal, Rt mastoid region was
severely tender.
A: what is your provisional diagnosis?
B: what are the suggested investigations?
C: what are the complications if patient left untreated?
D: how would you treat this patient?
32 years old male had a motor car accident, with head
trauma, immediately after the trauma his family noticed
bloody discharge coming from the Lt ear, on
examination the tympanic membrane was perforated,
patient also had partial LMNL of the Lt facial nerve.
A: how urgent is the case, and why?
B: what is the expected pathology?
C: what is your protocol of management?
23 years old female, complaining of dysphagia of 2 years
duration, more to solids, recently the condition
progressed rapidly to become severe
Examination revealed wt loss, froth in the Rt piriform
fossa, and splenomegaly
A: what is your diagnosis?
B: what are the needed investigations?
C: how can you treat this patient?
28 years old female, came complaining of deafness in
both ears, which is of insidious onset and slowly
progressive course
Examination revealed bilateral intact TM
A: what is your diagnosis, and DD?
B: what are the options for treating this patient?
39 years old female, noticed a change of voice
immediately after a thyroid surgery
A: what are the possible injuries?
B: describe the position of the vocal fold
C: how do you manage this case?
35 years old female came to emergency room with
dyspnea and noisy respiration,she gave a history of
bilateral nasal obstruction and purulent discharge for
the last 5 years
Nasal examination revealed bilateral firm grayish
masses covered by crusty discharge
A: what is your diagnosis?
B: what do expect to see during laryngeal examination?
C: how do you manage this case?
65 years old male, working as a carpenter, complaining
of left sided nasal obstruction and bloody discharge,
patient had left facial pain for 3 months that did not
improve by medical treatment
Oral examination showed loosening of the teeth in the
left side of the upper jaw
A: what is your diagnosis?
B: what is expected in the nose?
C: how can you manage this patient?
56 years old male came complaining of snoring with
disturbed sleep rhythm, his wife said that his respiration
stops for seconds many times during sleep
Examination showed over wt, large tonsils, long uvula
