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Quiz Case 2
Thomas G. Pollock, DO;
Daniel G. Deschler, MD;
Sandy S. Wu, MD
Philadelphia, Pa
Arch Otolaryngol Head Neck Surg. 2000;126:237-240.
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A 10-YEAR-OLD boy presented to the otorhinolaryngology service with a 6-month history of right otalgia, nasal obstruction, and clear rhinorrhea and had recently developed right temporal cephalgia. He had been treated for allergic rhinitis and right otitis media several times over the past 6 months. Notably, 1 month earlier, he had bloody rhinorrhea and was found to be anemic. He was presently receiving iron supplementation therapy for the anemia and had experienced a 2.3-kg weight loss over the past 2 months.
Physical examination revealed retracted tympanic membranes bilaterally. Nasal examination revealed mucoid rhinorrhea. The soft palate was noted to be bulging inferiorly. No cervical adenopathy was palpable, and the neurologic examination revealed no cranial nerve palsies or ophthalmologic abnormalities.
A computed tomographic scan and a magnetic resonance imaging scan of the nasopharynx were obtained (Figure 1 and . . . [Full Text of this Article]
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