Question of the Week - March 2022
March 25th, 2022
A 12-year-old girl presents to the ED with fever, sore throat, and difficulty swallowing and opening her mouth. She also notes change in her voice over the last day. Temperature is 100.8°F, but remaining vitals are stable. Physical exam shows cervical LAD, erythematous tonsils, and swelling of the right tonsillar pillar. The uvula is deviated to the left. What is the most appropriate step in management?
A. Tonsillectomy
B. I&D
C. I&D with IV ampicillin-sulbactam
D. IV dexamethasone
March 11th, 2022
A 42-year-old male with a history of osteoarthritis presents to the ED because of severe “room spinning”, vomiting, and intermittent ringing in both ears over the past 3 weeks. His wife notes that, over the same time frame, he’s also had some difficulty hearing from the right ear. Which of the following is the most likely diagnosis?
A. BPPV
B. Meniere's Disease
C. Salicylate toxicity
D. Vestibular neuritis
E. Cerumen impaction