post-exam ENT

this post would be useful for my other half who will be doing Specialty posting next.

and so, it was done.

i was the 3rd person to go for the exam from group B. it was on a volunteer basis and i would usually be the type who couldnt wait to get it done FAST. well, there is no point to wait longer rite? it doesnt make much of difference and why waste all the adrenaline for hours for the exams! it's either u know it or you don't. that easy.

so there were 2 short cases and 1 long case in the ENT clinic.

1. Short case - Mr Mohammad - Bilateral Chronic tonsillitis.

This guy asked a lot of questions that made me feel dumb and regret for not studying properly the night before. Did mouth examination on this patient. Questions were as such :

1. complications of tonsillitis
2. Criteria for admission for patient with tonsillitis
3. management for patient coming in with fever, sore throat, swallowing problem presenting in ED.
4. indication for tonsillectomy
5. OSA

2. Short case - Mr Har - Chronic Rhinitis with Inferior turbinate hypertrophy

This post was more do-able than the previous one. Mr Har was nice and always with a smile. i think i did better here than post 1. Did nose examination. he didnt comment much.

1. difference between turbinate hypertrophy and nasal polyps.
2. management for patient with rhinitis (medical and surgical)
3. suggest examination after anterior rhinoscopy. --> the answer is SCOPE and followed posterior rhinoscopy and Ear and Throat examination -.-;;;

3. Long case - Dr Ashwaq - Chronic Otitis Media (Tubotympanic)

Well, interesting case. Chronic bilateral hearing loss with otorrhea and she had a history of trauma. was only given 15 minutes to clerk her but i tend to spend too long socialising with patient. physical examination was done of the ear + otoscope examination. forgot to do hearing test but Dr Ashwaq was being nice and she reminded me. PHEWWW...

1. present the case. dont forget to inform whether any otitis media complications were present.
2. reasons for the diagnosis
3. showed a tmpanometry chart and PTA chart. didnt know i have to know this =(

all in all, i hope i gain marks here. this marks the end of the Specialty posting.

Hello Psychiatry! i hope i can learn myself better there.