A 50yr-old Chinese man presents with 'fullness' and 'muffled' hearing of the left ear, associated with tinnitus (humming sound) for the past 3 months. He also has blood-stained nasal discharge and a neck swelling on the same side.
What is the name of this common ear condition?
How many signs of this ear condition can you spot on this otoscopic picture of the left tympanic membrane? (What are the others that are not present? There should be at least 10 in all).
What treatment would you offer to this man for his ear condition?
What is the most important underlying condition you must rule out?
A 16-yr old girl with chronic pulmonary hypertension presents with hoarseness of voice for 4 months' duration. Above is the view of her larynx through a flexible naso-pharyngo-laryngoscope and an accompanying chest X-ray.
Q1: Describe the abnormalities seen.
Q2: What is the diagnosis based on the laryngeal appearance?
Q3: From the chest X-ray, what do you think is the cause for this pathology?