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January 1971

The Resident's Page

Author Affiliations

1721 Pine St, Philadelphia 19103; The Methodist Hospital, Houston 77025

Arch Otolaryngol. 1971;93(1):102-105. doi:10.1001/archotol.1971.00770060134023

PATHOLOGIC QUIZ CASE 1  Robert E. Fechner, MD, and M.J. Horwitz, MD, HoustonA 3-year-old boy had a severe upper respiratory tract infection with pharyngitis four weeks before admission. He failed to improve with antibiotic therapy and became anorexic and weak. On admission to the hospital, he was afebrile, appeared chronically ill, and was in mild respiratory distress. The soft palate was distended by a firm, nonmobile mass which deviated the uvula to the left. An enlarged right tonsil further narrowed the oropharyngeal airway. The remainder of the physical examination disclosed no lymphadenopathy or abdominal masses. Results of a peripheral blood cell examination and chest x-ray film were normal. The soft palate was biopsied (Fig 1 and 2).

PATHOLOGIC QUIZ CASE 2  Jerome Kosoy, MD, Galveston, TexA 14-year-old white boy described a two-year history of recurrent painless swelling of his right parotid gland which was slightly responsive to antibiotics.

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