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Correct Answer - C
Ans. is 'c' i.e., Glomus tumor
Clinical features of glomus tumor
The earliest symptoms of glomus tumour is pulsatile tinnitus
(earliest) and hearing loss.
Hearing loss is conductive and slowly progressive. These are followed by blood stained otorrhoea and earache.
Before the tympanic membrane (eardrum) is perforated a red
swelling is seen to arise from the floor of middle ear, i.e. "Rising
sun" appearance. This results in a red reflex through the intact
tympanic membrane.
Sometimes, eardrum may be bluish and bulging. o Pulsation sign
(Brown sign) is positive, i.e. when ear canal pressure is raised with
Siegle's speculum, tumor pulsates vigorously and then blanches;
reverse happens with release of pressure.
Aquino sign is positive, i.e. blanching of mass with manual
compression of ipsilateral carotid artery.
When the tumour perforates the eardrum a polypus will be seen in
the meatus and this will bleed profusely if touched.
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