Cases

By sharing our experience through interesting patient cases, we hope to make a difference in the way how people are diagnosed.

What’s the molecules telling?

A 65-year-old male presented with a nonhealing ulcer over the pinna of the right ear for 5 months. A biopsy from the lesion was done and the following is the report. Carcinoma with basaloid features and pigmentation – biopsy right pinna. Immunostaining: P63 – diffuse strong positivity. P40 – diffuse moderate positivity. BerEP4 – negative.

Its bleeding, bleeding and bleeding..

A 13-year-old male child presented to pediatric ENT unit, with chief complaints of left side nasal obstruction progressive and spontaneous nasal bleed, continuing nasal discharge since two months. intermittent episodes of headache which used to be relieved by analgesics. Past history No episodes of nasal bleeding before two months but intermittent nasal discharge. On examination

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 inquiry, she gave a history of chronic headache, mild balance difficulties and past history of tonic-clonic seizures, treated with anti-epileptics for a year. Physical examination revealed an alert and oriented patient, with

I feel breathless!

A 42-year-old male patient presented with a non-healing ulcer on the right lateral border of the 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, the patient presented with complaints

Recurrent Meningitis with Hearing loss

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

I can’t hear you!

A 45-year-old locomotive driver consulted his family physician because of a 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

Progressive loss of voice in a 2 year old female child

A 2-year-old female child presented with complaints of progressive loss of voice for the 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 were no complaints of feeding difficulty, fever

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

A 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 the mouth for the past 3 months. The swelling was initially small in size & gradually increased in size to attain the present size. The child gives a history of trauma to the mouth 3 months back. The swelling was