HEENT

Question 1

What is the management of a cholesteatoma of the tympanic membrane (a small epithelium-lined sac containing debris)?

Answer 1

Referral to an otolaryngologist because the mass can grow aggressively, leading to CNS complications like facial nerve damage, hearing loss, and intracranial extension.

Question 2

What do pale follicles on the tarsal conjuntiva signal?

Answer 2

Trachoma - infection with Chlamydia trachomatis serotypes A, B, or C. Treatment is with oral azithromycin

Question 3

What does the inability to extend the neck in combination with a widened prevertebral space on a neck lateral x-ray, trismus (inability to open the mouth completely), fever, and throat pain suggest?

Answer 3

Retropharyngeal abscess