surgery-ENT

Question 1

slowly progressive neck swelling in 64M from china. Dx? Association? risk?

Answer 1

• Nasopharynegeal carcinoma, associated with EBV, risk due to genetics and diet (salt-cured food, early exposure to salted fish)

Question 2

Fever, pharyngeal pain, earache in older adolescents and young adults with increased risk from drug & alcohol

Answer 2

peritonsillar abscess (PTA)

Question 3

fever, sore throat, difficulty swallowing, trismus, muffled “hot potato” voice, uvula deviation away from enlarged tonsil, pooling of saliva. Dx? Tx?

Answer 3

peritonsillar abscess (PTA)
Needle aspiration or I & D plus abx therapy

Question 4

Triad of: Fever, pharyngitis and posterior cervical lymphadenopathy

Answer 4

Infectious mononucleosis

Question 5

Neck pain, odynophagia, and fever following penetrating trauma to the posterior pharynx, nuchal rigidity and bulging or the pharyngeal wall. Dx? risk?

Answer 5

• Retropharyngeal abscess

- Risk of acute necrotizing mediastinitis

Question 6

life-threatening complication; fever, chest pain, dyspnea and odynophagia that requires urgent surgical intervention

Answer 6

Acute necrotizing mediastinitis

Question 7

Whistling noise during respiration after nasal surgery/trauma

Answer 7

Septal hematoma from Naasal septal perforation