This is a clinical photograph showing an adult male with a 3-4 cm right submandibular swelling. There is no overlying erythema or skin changes.

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A 55 year old male presents with a 3 month history of an anterior neck lump. What does the image show?

This is a clinical photograph of an adult male with an anterior neck swelling, consistent with a thyroid goitre. The differential diagnosis includes lymphadenopathy, a branchial cleft anomaly or a dermoid cyst.

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Adenotonsillectomy is a first line treatment for children with obstructive sleep apnoea (OSA). OSA has a significant impact on children’s quality of life and health, and can lower IQ, lower emotional liability, decrease attention span, and worsen school performance.

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