congenital cholesteatoma pearl after removal | Figure 1

Aaronkun

congenital cholesteatoma pearl after removal

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#Mastoidectomy was performed in a 9yo patient with #Cholesteatoma](https://app.figure1.com/case-detail/27e92225-45f0-42a2-8674-7da84d4e9f3e)



A right tympanic membrane (ear drum) showing a pressure equalizing tube that has moved into the middle ear space (orange arrow) instead of being extruded into the ear canal. A retraction (green arrow) is where the tube had been inserted. The ossicles are clearly seen as well - malleus (hammer - blue arrow), incus (anvil - gray arrow) and stapes (stirrup - yellow arrow). Figure 2 is the same picture without the arrows.](https://app.figure1.com/case-detail/2aa7a063-c823-4931-af6f-d818f8a73f2e)



56 year old diabetic with left ear tinnitus and hearing loss.](https://app.figure1.com/case-detail/3d4ba0ad-9823-47b6-84f4-a92ab3919167)



25yr old with tubes as a child, several ear infections, and busted ear drums a few times. Just tympanosclerosis?](https://app.figure1.com/case-detail/5dca8a28-f2c3-455c-932b-2f7552008662)



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)