this neonate showed nasal obstruction at birth and was found | Figure 1
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this neonate showed nasal obstruction at birth and was found to have a mass in the right nasal passage. What is your differential diagnosis?
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Sagittal (image 1) and axial (image 2) post-contrast CT images show a hypodense antrochoanal polyp (arrow) arising from the right nasal cavity.
An antrochoanal polyp is an inflammatory nasal polyp. Children with an antrochoanal polyp typically present with nasal obstruction and discharge. However, other symptoms such as nosebleeds, snoring, and obstructive sleep apnea may also be present.
Other pediatric nasal masses include juvenile nasopharyngeal angiofibroma, basal encephalocele, rhabdomyosarcoma, and nasal neuroglial heterotopia.
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23 years Down's syndrome patient long standing Rt nasal obstruction occasional epistaxis. Specimen shown in the picture. What do you think? #medical-student
A 28yrs old African female. Present with a 5yr old mass in the right nasal vestibule. Mass is non tender, irregular shape, use to bleed upon contact but has not bled for the past 1yr 6months. No nasal cogestion nor rhinorrhea. No known allergies. Applied Neo Hycolex but no improvement. What could the mass be?
17 years old male presented with a history of 3 weeks of left nasal congestion and epistaxis left side on and off. Clinical exam showed a mass, non tender, red, crusty that was occupying the entire left nasal vestibule. No bleeding st the time of presentation. Three weeks ago, he was initially seen by his GP and treated with Betnesol drops for 2 weeks for what they thought to be a nasal polyp. The tumour increased in size.
CT scan described the tumour as polypoid tissue left nasal vestibule with origin either on the inferior turbinate or nasal septum. The picture shows the specimen sent to pathology after removal. It had an ~1 cm insertion on the septum (Little’s area) left side that was cauterised after removal and an 8cm Merocel put in place. Any thoughts on what it can be?
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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.
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?