Q12: Trickling ear

This is the otoscopic view of the left ear of a 35yr-old man presenting with chronic ear muco-purulent discharge for the past 10yrs.

Q1: Describe the abnormalities seen.

Q2: What is the name of this condition?

Q3: Name three theories in the causation of this disease (pathogenesis).

Q11: Hoarse voice, big heart

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?