Q17: I have a voice like Louis Armstrong

A 40-yr old non-smoker presents with hoarseness of voice for the past 2 months. He has a history of total thyroidectomy for thyroid cancer 2 years ago and intubation was difficult.

Q1: Describe the lesion.

Q2: What is the most likely diagnosis?

Q3: What is the theory behind the pathogenesis of this lesion? 

Q16: Multiple discharging sinuses

A 45-yr old man presents with this painful lesion for a month's duration. It started out as a scratch from a fall and has progressed to what it is now.

Q1: What type of skin infection is this?

Q2: What is the best form of treatment?

Q3: What systemic condition might predispose to it and how should it be investigated? 

Q15: Muffled and buzzing

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?