PATHOLOGIC QUIZ CASE 1
Bruce W. Jafek, MD, Matthew L. Wong, MD, Denver
A 51-year-old woman had poor hearing in the right ear. For the previous 1½ years, she had been troubled by occasional right ear infections that were not accompanied by otorrhea. She first noted poorer hearing in the right ear two months prior to being seen. This symptom was fluctuant and occasionally associated with highpitched, intermittently pulsatile tinnitus. She had experienced one brief episode of vertigo shortly before her admission. A review of her systems and family history were noncontributoryResults of physical examination disclosed a small reddish-purple mass visible through the translucent right tympanic membrane (TM) in the posterior-inferior parts of the quadrant. The TM was mobile and not adherent to the mass. The results of Weber's test for hearing and Rinne's test were normal and the cranial nerves were intact. There were no palpable neck masses.
FECHNER RE. Resident's Page. Arch Otolaryngol. 1979;105(10):626–628. doi:10.1001/archotol.1979.00790220060014