Its all in the genes!

A 42 year old female was seen at an outside facility for progressive bilateral hearing loss and was referred to the otology clinic. On further enquiry, she gave history of chronic head ache, mild balance difficulties and past history of tonic-clonic seizures, treated with anti-epileptics for a year. Physical examination revealed an alert and oriented […]

I feel breathless!

42 year old male patient presented with a non healing ulcer on right lateral border of tongue for 3 months. A biopsy from the lesion proven to be well differentiated squamous cell carcinoma. After metastatic workup, he underwent wide excision of the lesion with ipsilateral neck dissection. On post op follow up, patient presented with complaints […]

Recurrent Meningitis with Hearing loss

A 12 year old male child was referred from pediatric department following resolution of third episode of meningitis, with complaints of left side hearing loss since childhood. Parents noticed the hearing loss on left side when the child was in fourth standard. No newborn hearing screening was done for the child at birth. Investigations Blood / […]

I can’t hear you!

A 45-year-old locomotive driver consulted his family physician because of ringing sensation in both his ears for the past 5 years.  Away from work, he had difficulty understanding conversations in crowded rooms, and he said he often argued with his wife about the volume of the television set. He also complaints of depression that began soon […]

Progressive loss of voice in a 2 year old female child

2 year old female child presented with complaints of progressive loss of voice for past 6 months. She had no history to suggestive voice abuse, foreign body inhalation, cough or catarrh. She had worsening difficulty in breathing with fast breathing, but no cyanosis, orthopnea or leg swelling. There was no complaints of feeding difficulty, fever or chronic […]

You guessed it right!

A 3-year-old boy presents with a midline anterior neck mass, just below the hyoid bone that moves with deglutition and tongue protrusion. Question: What is the most probable clinical diagnosis?

Painful swelling of ear in a middle aged man

35-year-old man presented to the ear, nose and throat outpatient department with a 1 week history of painful swelling of the right ear. He was having recurrent episodes of similar illness in both ears, for the past 5 years, for which he was treated multiple times with antibiotics and analgesics. These episodes used to subside […]

Intra oral swelling in a nine year old child

A 9 year old female patient presented with a chief complaint of swelling in the floor of mouth for past 3 months. The swelling was initially small in size & gradually increased in size to attain the present size. Child gives history of trauma to the mouth 3 months back. Swelling was not associated with any pain but child had difficulty in […]

Resurgence of a disease of the past

6 year old boy from a rural area presented to pediatric casualty with history of throat pain, progressive swelling of neck and moderate grade fever for past 2 weeks associated with gradually worsening dysphagia for past 2 days. Antenatal history was uneventful, born at term by normal vaginal delivery, developmentally appropriate for age and has […]

Challenging diagnostic nasal imaging

5 year old male child presented with history of recurrent sore throat, fever, mouth breathing for the past 3 years. Parent also gives history of sleep disordered breathing including witnessed apneic episodes. History of nocturnal enuresis also present. On examination Adenoid facies present. Mouth breathing present. Oral cavity: Crowded tooth Oropharynx: Grade III tonsils Anterior rhinoscopy: […]