1 / 16

Case presentation

Case presentation. Name – Mr. Boranna Age – 40yrs Sex- male Occupation- coolie Add - chalakere. Chief complaint Bilateral nasal obstruction – 4 months More on rt side. History of presenting illness B/l nasal obstruction -4 months More on rt side

oshin
Download Presentation

Case presentation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Case presentation

  2. Name – Mr. Boranna • Age – 40yrs • Sex- male • Occupation- coolie • Add - chalakere

  3. Chief complaint • Bilateral nasal obstruction – 4 months • More on rt side

  4. History of presenting illness • B/l nasal obstruction -4 months • More on rt side • Insidious in onset , intermittent, constant • Ass with repeated episodes of cold with nasal discharge which is watery in consistency • Reduces on medication

  5. Past 15 days days nasal obstruction is continuous • h/o post nasal drip + • h/o reduced sense of smell+ • h/o snoring + • h/o change of voice +

  6. No h/o sneezing • No h/o facial pain or headache • No h/o tinnitus , ear pain or discharge • No h/o foul smell from nose or foul taste • No h/o watering of eyes , nose or throat • No h/o sneezing • No bleeding from nose • No h/o trauma to face/nose • No h/o dryness of nose

  7. Past history • Not a known case of DM/hypertension • No h/o asthma / drug allergy /TB drug/ bleeding disorder • h/o RTA 4 months back with trauma to foot , no trauma to face or head • No h/o surgery or hospitalization

  8. Family history • No h/o similar complaints in family • Patient is married and have 2 children

  9. Personal history • Mixed diet • B/B- regular • Sleep- undisturbed • Appetite- good • No habits

  10. General examination • Patient is conscious , cooperative • Moderately built and nourished • Pallor- BP- 130/80mmhg • Icterus- pulse-80beats/min • Clubbing- afebrile • Cyanosis- • Lymphadenopathy- • Edema-

  11. Systemic examination • CVS- S1S2 heard , no murmur • R/S- b/l NVBS+ • P/A- soft , no organomegaly • CNS- no focal neurological deficit

  12. ENT examination • Nose- • External appearance • Root , dorsum , tip, supratip, ala , columella, vestibule- normal

  13. Anterior rhinoscopy examination • Septum is in midline, no deviation • Bilateral pale ,polypoidal • mass filling the nasal • cavity On probing it is insensitive to touch Doesnot bleed on touch Can be probed all around except superolaterally On rt side only a part of inf turbinate can be visualized, lt side turbinate not seen

  14. Cold spatula test – no misting seen on rt side • PRE – normal • PNS- no tenderness

  15. Ear – bilateral normal • Throat – oral cavity - normal • orophaarynx- normal • Neck - normal

  16. Probable diagnosis • Bilateral ethmoidal polyps

More Related