Question
Which among the following are true about the enlargement of the structure marked by an arrow in the picture below?
A. |
There is failure to thrive.
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B. |
Mouth breathing is seen.
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C. |
CT scan should be done to assess size.
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D. |
a and b.
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Correct Answer � D
Explanation
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Ans:D.)a and b.)There is failure to thrive and Mouth breathing is seen.
The structure marked by an arrow in the picture above represents Adenoid.
ADENOID
- Sub epithelial collection of lymphoid tissue at the junction of posterior wall and roof of nasopharynx.
ADENOID ENLARGEMENT
- Clinical Features:
- Nasal obstruction is the commonest symptom
- Mouth breathing,Failure to thrive
- Recurrent URTI,Nasal discharge, sinusitis, epistaxis, voice change-Rhinolalia Clausa.
- Eustachian Tube obstruction: Conductive hearing loss- CSOM, SOM
- Adenoid is a common cause of Eustachian Disease
- Adenoid facies: elongated face with dull expression, open mouth, prominent and crowded upper teeth, hitched up upper lip, high arched palate
- Pulmonary hypertension and Cor pulmonale
- Aprosexia – lack of concentration.
- Assessment:
- Size of adenoids may well be assessed using lateral radiograph of nasopharynx and Nasal Endoscopy and CT scan is not necessary
- Treatment:
- For the treatment of enlarged adenoids when symptoms are not marked breathing excercise, decongenstant nasal drops and antihistaminics are used and when symptoms are marked, adenoidectomy is done.
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