FK Unsri

Blok 4
2010

- SCENARIO 3 -

Alergine, a 12-year-old girl is brought to the Department of Pediatrics RSMH hospital by her mother due to a
persistent headache she has been complaining for for the past 2 weeks. Ten days ago her mother took the girl to
an ophthalmologist to find out the possibility of any eye problem. It appeared that her vision was normal and
there was nothing wrong the eye and the orbit. The patient states that she has been in good health and that she
received a cat as a birthday present 1 month previously. Just three day ago she gets fever and stuffy nose. On
examination, she has a mild fever, the tympanic membranes appear normal. Her throat is mildly hyperemic but
otherwise looks normal. There is some tenderness of the right cheek and over the right orbit. Her father is
asthmatic while her older brother is allergic to aspirin.

What is the most likely diagnosis?

What is the most likely etiology for this condition?
What is the likely anatomical structures involved in this disorder?

-----------------------------------------------------------------------------------------------------------------------------------------

FK Unsri
Blok 4
2010

- SCENARIO 3 -

Alergine, a 12-year-old girl is brought to the Department of Pediatrics RSMH hospital by her mother due to a
persistent headache she has been complaining for the past 2 weeks. Ten days ago her mother took the girl to an
ophthalmologist to find out the possibility of any eye problem. It appeared that her vision was normal and there
was nothing wrong in the eye and the orbit. The patient states that she has been in good health and that she
received a cat as a birthday present 1 month previously. Just three day ago she gets fever and stuffy nose. On
examination, she has a mild fever, the tympanic membranes appear normal. Her throat is mildly hyperemic but
otherwise looks normal. There is some tenderness of the right cheek and over the right orbit. Her father is
asthmatic while her older brother is allergic to aspirin.

What is the most likely diagnosis?

What is the most likely etiology for this condition?
What is the likely anatomical structures involved in this disorder?

-----------------------------------------------------------------------------------------------------------------------------------------

FK Unsri
Blok 4
2010

- SCENARIO 3 -

Alergine, a 12-year-old girl is brought to the Department of Pediatrics RSMH hospital by her mother due to a
persistent headache she has been complaining for for the past 2 weeks. Ten days ago her mother took the girl to
an ophthalmologist to find out the possibility of any eye problem. It appeared that her vision was normal and
there was nothing wrong in the eye and the orbit. The patient states that she has been in good health and that
she received a cat as a birthday present 1 month previously. Just three day ago she gets fever and stuffy nose.
On examination, she has a mild fever, the tympanic membranes appear normal. Her throat is mildly hyperemic
but otherwise looks normal. There is some tenderness of the right cheek and over the right orbit. Her father is
asthmatic while her older brother is allergic to aspirin.

What is the most likely diagnosis?

What is the most likely etiology for this condition?
What is the likely anatomical structures involved in this disorder?