Today's rotation was Ears, Nose and Throat, and was held in a Doctor's private clinic (not the hospital) in the capital. As it was afternoon "office hours" we were treated to a stream of patients to see and interview, rather than the traditional one. This also meant that our interviews had to be a lot faster, and lots of the extraneous material was cut out. I was glad to finally not have to ask a patient about their sex life, when all they had was a simple ear problem.

My colleagues interviewed patients with Benign Positional Paroxsymal Vertigo, deviated nasal septum, and kids with wax plugs in their ears. My patient came to the ENT specialist with right lower quadrant abdominal pain that radiated to the groin. WTF?? How did he get here? Anyways, after a history and brief physical that was completely unremarkable, the pt. was diagnosed with psoas muscle spasm.

The most interesting case of the day was a 3yo boy that had a [1] branchial fistula. ([2] Image) And all this time I thought they were just making this stuff up to torture us in Embryo, as I had never seen anything taught in that class in my 7+ years of working in the ED/EMS. (Ok, maybe a couple things, but definitely no fistulas.)