—___Enr C8 neconp HOSPITAL NO. via wane 1 OMY Dentatin AUE SUX: 24 ys NIT & CONSULTANT Uni. Dv Bataji ty OCCUPATION ; 2 Studowk, Rautewt wan on SIN PpAMeWLLy Von aL om Hee COMPLAIN’ Wend ‘ i xr | EAR/NOSE/ THROAT Ofte onic nen Loriloberas Lilt ear eee, Cea discharge + Ofe tif eay ber thy pout > tasmthr, if | wos Hickey, how four Armaling 1 Enlencalted, non lise ts 7 dnsos ileus Gaiiege 2 Hard of Auvaring > Unthebinvat. th, Lfrean , Yroduol onset Prepeastus he “H/o Wate Chueh beuun 7 dri Prkeuha y fun, Pains Hhitve » qieldinors ‘ ; FASTMEDICAL OR © No H/o Similar fomplainte ih thu foaat SURGICAL HISTORY Nof H/o - Medication No] to ~ diabetec , Gatton, Auypetcinon No H/o- Previous Surgnice. vag SOCIATE . il "eat LNBs : NT DLOCATION EXAMINATIONS. THROAT ORAL CAVITY Newmel > Now Yotonian mth — Verret OROPHARYNE hermee * Rerteie Ve rd of Fong ~ nem © Cecirr fencillar pillar: hemet = Peokeser faryngeet eaihs Rematright Cay Litteoy EAR: im OTOSCOPY 1. Discharge sin ERC of Subt cay O 2- Tyrpamic mente, 3. Foto test > Neqakine fn born right 2 tess TUNING FORK TESTS RT RINNE LT Poatdine 256 Hz Neqakinn Porifivs. S12 He Nl iNenatine Positive toraHe | Neqabinn WEBER fatipaliecs Norah apc Normat VESTIBULAR FUNCTION TESTS Nommal Yoo TOLOGOCAL EXAMINATION Norma2 ON PROVISIONAL DIAGNOSIS (Unilaliral halk poy Chronic Ms pfifin oudio of fuookympandc tyes, Witch fe in wait prake Je Wty coranction jraaning Lore Wwithour ong inveending P \ " INVESTIGATIONS 1+ lckifony 2- X-ray mated » Struste 3. CT- Scam Le. Cotkure & semoitivity of discharge BS. Mead & Unths dtananaton PLAN OF MANAGEMENT ~sdusrad totlek * tHoreugh claning. of ear. bry mopiaing wills with cotter bode & Suction clearance Wadun ovvoiha, mibrescope: s- penne hart : | hrm ecriong ot Olen PSpetae etn [qontwenycin [ Conttimeconet. => Treat Pimony Source oA keaton _ ite “so FOLLOW UP T| divdnary remiotan Ceteak mavteRctonng, Hympaneh 66HOSPITAL NO. NAME ENT CASE RECORD DATE: Mx Sonarthanan AGEISEX: 32.4 fy UNIT & CONSULTANT Dr Butea. Cunct 2 OCCUPATION Software enainevy COMPLAINTS IN oe eae th ighr Adda fee Corsa EAR / NOSE / THROAT ° Noset S HEAD & NECK, ® Meadathe oan f a Beth He bry ment “feetOa- poor Erase lethal Ra BGA, Tratdtlous inemeeh, OBE by head bal ,velioner nora drr 0 iS 2 Node Abaca Cook b manthe, [Link] emek, hindus Gatos (om imatsih «foot aration yeni > Weadeede: Ofe a intomittent Oh parece” rica Ce I x UF ioe Z PAST MEDICAL OR 1 eked buy tras both. SURGICAL HISTORY No H/o - xtmilow Compaiinto on tha paar No Ho. dkabetro » aothma, Aripprienaio ote Neo Hfo~ foumon No Wo- Previous Sergey ov Ireopited tee ANy . 2 x De SOCIATED : nil DICAL ILLNESS bh 67 4~~ LOCATION EXAMINATIONS 1" haar er Apettitieat NOSE = ininion shinortayy : Nada Mueore oD tepgiaied: 7 Naoek sepkurm Ye Audited be tightly Keer Ramat 1 Lakias wall shove ankuirr tnbainn Kbit Iyjatrephy - POSTNASALSPACE vitterued bub fot Succemt ut pus tondumnir : Along marciteny Voter Carre-hapadtencernen ) CofA spatlo fet = Aimiwhed {oyqan5 F coin took : NegaKius OA) ie THROAT Norah ORAL CAVITY i + Lips - Nama | + Neck = namat Cho \uayuledigashic rede) 3 — Ne Commbiokon of 61 oe ° oe meth Rema 2 Towed weed 2 Renkaier phorgngenion th nemat OROPHARYNX = Wem © Podider Vere ef congue > Rome 2 Paskutey tonsither pillar + named & Perkin phayingeL Lat Nenad LARYNGOPHARYNX + Goe amGialirn attonmpita rir he guscensted 68EARS Normal, Preaun cutey Teyion oTOSCOPY EAC & Hympante membrane Oyptored real qUNING FORK TESTS VESTIBULAR FUNCTION TESTS _ S © RT. RINNE ur Ponte 256 Hz UK Por hun S12Hz PoriHtuc 1024 Hz Noma ABC Momok Rup °CTOLOGOCAL EXAMINATION Nomak 69PROVISIONAL DIAGNOSIS Uniosior naved dortation of 5 Sephorn O TOAE Sede : inl unin hoppy on the A He Chronic Siti INVESTIGATIONS J. X= My: Nox & pananerat Sitio 2. CT-Sean PLAN OF MANAGEMENT = ° Sumo Terstalion of sq . » Maliage & Renan Sine ° Sydoplarty rouowup At 'S hap 0ENT CASER DATE: NAME PONY. NI thish ATE : AGE we . SEX ts, y Joa UNIT & CONSULTANT : tL DER seat OCCUPATION udenk Nosat obohnution - Unilatras YEght Kole COMPLAINTS IN : Lee Dwotee FAR/NOSE/THROAT — fatierk Was Cuore sty HEAD & NECK nemas. before 2 menthe ada atin Which WK danbopa > ae 2 U/L 6h Yar Wd jlehich Wao Covtineuoly OWE eradunk Grok , Proyreninn amociaked ULHK narat Akscher ged a Macetd Uh Cammigleney ayyrevated Aue & atin, hradlowth 7 Cola dAniye t relieved on inedicakion NO K/O Yeducd geonaiion of Brett We He Maveing ; fociad pai »dvadache » finite 1 Roe (roi » ALC) hy Walleing , bleed stained » four tarmentiing cid Chewas 'ST MEDICAL OR SURGICAL HISTORY Ne H/o Smiley Benykaidle in the pat No H/o asthma , dlaladtes , Ayentemion TS ho H/o Swrqtio @) howpihtadmiadtorn H/o nasok Ane for loeaks ANy, ASSOC], : " IATED : ICAL ILLNESS NeneLOCATION EXAMINATIONS : Nose: S2tiimak Contour - monet Vortibulay 4 Columban - pemak Antonin vhinsrtojesy — agehum Midln park muore — hones Poly of Ulsible ch. POST NASAL SPACE feo Buk pee decceten — Sinus Ktndbnur - alpyur ~ Cold spatula Hat —fodgin on both sda — Cotten sel tor — haernk . (We) THROAT ORALCAVITY = Lis - nana Cys - nomad Feo Ane hme oa, : Pork = prarreyngent Umth - noma Neck — Werk Tuplodigastne hedle — alge OROPHARYNX = Nortrah Pootutor Vy rd of fovigin - Maa - Ponknsir Ferildon puller = eet Pookusinn whanigirgead ess ~ Vutned LARYNGOPHARYNX Track Lonyngsrtopyy alerted bur hot socom :Trayek tendons — Ainge BAC A Hympante Mendzrane uk Yeater. - Reread TUNING FORK TESTS VESTIBULAR FUNCTION TESTS homes Ry . : * OTOLOSOcAL EXAMINATION hovelPROVISIONAL DIAGNOS!S Right Aided anmaceerck boli With pasar efrhurctien cnr Alychary INVESTIGATIONS |. K-Youy? Wore + Carcomara! Skye 2. CT- Scan PLAN OF MANAGEMENT © Akt higteniyus \. Nedtcoar Moun 7 ener O krack Lownse Of, cteeid ise Wweryic at raunoqununk > Funckenal eudaseopit Brus Surry FOLLOW UP W4 =— ENT CASE RECORD DATE: iE ‘ wn Ms Neha AGE/SEX: 8 /p UNIT& CONSULTANT ; Unit? Dr. Batatt. b OCCUPATION : chief Cormpainla: 1. Seve Hneat ea 2 AL icuehy oy swatlowtin = | mena Potlent was cpfparently port 4Menths COMPLAINTS IN av . EAR/ NOSE / THROAT ae ath Whit She Audoped ~ HEAD & NECK ; : . I. Bove throat : theidions ~ enacr y hen proqyersius Yolieuca bey War Ween eyes) . 2. Difihcarhs in Bueblowtng inMlicws ensck . én ethien lemided boos. Kast epinrds wo orn thr Paes ¢ c feu + No Hfo meu, H/o haliferts BS cAunephagia 2 : Kg ee TVoank bleck SF a Bar © ea PASTMEDICALOR —: SURGICAL HISTORY -No H/o artyma | Maerker - hyjortemion, te ~ Ho vimiloy Une by the past & eytrodis Uttisn © Weoles 7 We Ble Sunguy os heipikd odmaiohaten ANY ag, SOCIATED : \ OICAL ILLNESS NeesLOCATION EXAMINATIONS NOSE:- Nowak Ealrwal Comtour | Nader Schum — puma } Laivred, Walle — ham Rorad mucorn - Vovrad Vosttbuber te Cobumila ~ oral POSTNASALSPACE AHtUminted. but hot buccearish ‘ faa THROAT Week , enone Auspulodiqarhte beds lla < trode fore ‘ EAT eases VS O'R USE, Life Murr - Wonk > Guccad mucora —humet ae Vad - Labtad pucakmruoe - hod Teel — eutrUrowdsd: : Pudtdoy B/3¥8 Gh Forgus - Womah Recs of reuth ~ Verwed » Hard palate = igh OROPHARYNX — am Pooktisr 2/374 0 Tongue - Remak Soft patak L ule - pnt aukeaoy puller of fori — Congerted Tonsih ~ enter ; poate lam Snot vib Portier plratynges) Wot raned Dwi mort gyn - jporthis LARYNGOPHARYNX Undiveer Lorrynyescopy elborrnclt aisEAR :- Pre Owriculy Teyen- OTOSCOPY N Pinna — pon Post aunculerveuton Weak No madbhta Aetroget entnnns Nome Eace Vanes mreprvans TUNING FORK TESTS RT. RINNE, ut Porthus 256 Hz Postk. | Port Kue S12He | Peschiue Porth, W2eHz | Pe iHu Equally WEBER eee froma ABC Noma |_ VESTIBULAR FUNCTION TESTS Namek Nay ‘RO OTOLOGOCAL EXAMINATION NomadPROVISIONAL DIAGNOSIS Care of Ohonte foreillitio with ho Complicabiane INVESTIGATIONS \. Glecd — He , TEC DLC, Ese 2-BT CT. 3B. X-ray + Ne (rent Ye Une Alben A Sayer 5° Wdtwe 4 Geneikviy . PLAN OF MANAGEMENT 1: (rdicat p Pp 5 & Re 2. Sunmicnd tramagement | Temsibbedtery ih Coon of Yeeurent ihbetion FOLLOW UP 79 aENT CASE RECORD joseriatno, ~~“ GASE RECORD NAME DATE: 7 Nas Rey hatetvrnt, AGE/SEX: eye UNIT & CONSULTANT Ui. Dr Ratast OCCUPATION Youn Late COMPLAINTS IN 2 Newt obrymubon Vt7 ht BL dU oth, EAR/ NOSE / THROAT Pebbers HEAD & NECK ee A 3 p cng Dn bra, Lypbtonin PAST MEDICAL OR SURGICAL HISTORY No Wo simviler Compeatito (Hy pact Ne Hlo ane TEEN, Oattire ot SP He beeuunm 7 Previous Hf olen haoabdneies for (Week NY ass OCIATED : "eoIcay ILLNESS hon =DLOCATION EXAMINATIONS NOSE:- Boetmek Contour © Moret Vestibule C6olumla — roma Ritrior rhinerceryy— neon weer —Corgehd Lextera Rent - Lifter tet hepre happertreytng GRA Aokertion be Th aight POST NASAL SPACE bat net Coldspahla tit — oiminished on right Cotton pol fier - otininiched on right (ettls tert - poritive THROAT ORALCAVITY =? Nowak — Lit pos Nomar eNom * Teeth? Namek Temi , anhivy & portivy pitler ?> Nemet Neck - Tusutodinadhichodte® Nemes OROPHARYNX - Nowak Fortier Wy yd of Pergus - Wewnh Pokwicr tewill piller -. Nort Yorkuicr Phomyngek wth - rina LARYNGOPHARYNX = gyet LeEAR: oTOSCOPY * Preaurtoutv be hy rer Of prin port Qimicubiny Grveo Marrid & breged fordiner “Tyre Atars mace qUNING FORK TESTS er ane . PostHne 2seHz | Perifius Poot Hor 512 Hz Pontus Molt t024Hz | Peottte ee ted WEBER plow op lpoth Nowak ABC pom VESTIBULAR FUNCTION TESTS = Wsorn-nh "EURO OTOLOGOCAL EXAMINATION NomadPROVISIONAL DIAGNOSIS Adetoy taevah Aqhin duiation fo vight ede i, uit Fihwifis A Chfricr Hobihele Aiggiidioay INVESTIGATIONS . \) Xen inom porenacal Yue 2) CT ~ Scam PLAN OF MANAGEMENT Submucesel yearction of 84h Lat ‘wfoier Hevbeintctormy : FOLLOW UP e7