Otolaryngology

A 58-year-old man who smokes and drinks heavily presents with a painless lump below the angle of his left jaw that he first noticed six weeks ago and which has…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

A 61-year-old woman reports two weeks of brief episodes of the room spinning, lasting less than 30 seconds, that happen when she rolls over in bed to the right,…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 29-year-old woman presents with three days of worsening unilateral throat pain, fever and difficulty swallowing. She cannot open her mouth fully, her voice is…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 48-year-old man who migrated from southern China ten years ago presents with six weeks of a blocked sensation and reduced hearing in the right ear. On several…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

A 23-year-old man presents with a five-day history of worsening sore throat, and swallowing has become so painful that he is spitting his saliva into a cup. His…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 46-year-old man notices sudden hearing loss in his left ear on waking 48 hours ago. He has no pain, discharge or recent upper respiratory infection, and otosc…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 15-year-old boy has six months of recurrent, predominantly right-sided epistaxis and progressive right nasal obstruction. He has no fever or facial pain, and…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 59-year-old man presents with eight hours of continuous vertigo, vomiting and difficulty walking. He has spontaneous right-beating nystagmus and no hearing lo…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

A 14-month-old child has fever and irritability after several days of coryza. The child is pulling at the right ear and wakes repeatedly overnight. Otoscopy sho…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 38-year-old woman experiences brief episodes of spinning when she rolls over in bed or looks upward. Each episode lasts less than a minute, and she is well be…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 42-year-old woman presents with recurrent anterior epistaxis from the right nostril. She is haemodynamically stable, and firm compression for 15 minutes plus…

Eyes, Ears, Nose and Throat · Clinical rotations · common

A 34-year-old swimmer has had increasing right ear pain for three days. Moving the pinna and pressing the tragus markedly worsen the pain, and the external cana…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist