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ENT · Ear and audiology: Citelli abscess
Sample itemA child with mastoiditis has a swelling behind the ear along the line of the posterior belly of the digastric extending up to the occipital area. What is it called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Citelli's abscess
Citelli's abscess is a collection in the occipital region from breakthrough of the digastric ridge or the posterior mastoid. Bezold's abscess forms in the neck deep to the sternomastoid via the digastric groove. Luc's abscess lies in the temporal region above the zygomatic root.
Option by option
A. Griesinger's sign
Griesinger's sign is oedema over the mastoid from sigmoid sinus thrombosis.
B. Citelli's abscess (correct)
Correct. It extends posteriorly towards the occiput.
C. Bezold's abscess
Bezold's abscess lies in the upper neck under the sternomastoid.
D. Luc's abscess
Luc's abscess is above the zygoma in the temporal area.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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