I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Thursday, September 20, 2012
This child is referred to you for a routine tonsillectomy and adenoidectomy. His cleft lip and palate have not been repaired. His pediatrician, however, feels that the tonsils and adenoids are more of a problem because the child has severe OSA and recurrent tonsillitis. When you examine the child, he is able to repeat nasal consonants ("m" "n"). However, with plosives ("Bobby" "puppy"), you hear air escape. You also note air escape with sibilant fricatives ("s" "z" "sh").
Challenge: Would you do the tonsillectomy, adenoidectomy, both, or neither?
Image shown under Creative Commons Attribution Share-Alike License.
The content of this site is for educational purposes only. The author of the site does not provide any medical advice and information here should not be construed or used as such. Using this site does not create a physician-patient relationship and is not intended to replace the services of a licensed, trained physician or health professional. No health or medical related decision should be based in whole or in part on anything contained here. Any opinions expressed here are not necessarily those of the author nor do they reflect the opinions of any of the author's affiliations. Content on this site may be changed without notice and is not guaranteed to be complete, correct, or up-to-date. Any comments posted to the site can be edited, modified, or removed by the author of this site.