enlarged adenoids adenoiditis

can you see the area between two stars marked in the image?
normally the posterior wall of nasopharunx is concave. any convexity along the posterior wall suggests a mass / abscess or adenoids.
this is adenoids as it is in the area just above or along the level of palate. they are enlarged in adenoiditis.

one can also appreciate the airway narrowing of the nasopharynx.
adenoids usually present with persistant rhinorhea hypernasal speech not able to pronounce R and mouth breathing with face turned up, with or without nose tip turned up.
medical treatment is with soothing comfort and decongestants and nose drainage. chronic adenoiditis requires surgical resection called as TAR surgery to get symptomatic relief.
SOme of these children have obstructive sleep apnea syndrome. (OSAS)

www.peditips.comwhen a doctor completes his training without the real hands on experience, its mistaken by many that what you are taught in medical school is totally in contrast with what you see clinically in patients. This blog aims at making medical students and docs understand how every case is exactly the same as in books. The work done by senior docs over the years is really rewarding. Infact when one finds a contrast in what is taught, he should go to books and you will find the exact descriptions verbatim, or the images as they are explained in medical books.