Q:

A 41 year old man presents with longstanding foul smelling ear discharge and progressive hearing loss. Otoscopy showed perforation of the pars flacida and a mass in the upper part of the middle ear. What is the most likely diagnosis?

waelhammad
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2022-11-05
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A 41 year old man presents with longstanding foul smelling ear discharge and progressive hearing loss. Otoscopy showed perforation of the pars flacida and a mass in the upper part of the middle ear. What is the most likely diagnosis?

  1. ASOM
  2. CSOM
  3. Acquired cholesteatoma
  4. Congenital cholesteatoma
  5. Barotrauma
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waelhammad
2022-11-05
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The key is C. Acquired cholesteatoma. [In congenital cholesteatoma there is usually no perforation. In acquired cholesteatoma perforation is in pars flaccida].

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