The commonest cause of U/L mucopurulent rhinorrhoea in a child:
## **Core Concept**
Unilateral mucopurulent rhinorrhea in children often points towards an infectious or obstructive etiology. The differential diagnoses include infections, allergic conditions, and anatomical abnormalities. A key consideration is the likelihood of foreign body aspiration in pediatric patients.
## **Why the Correct Answer is Right**
The correct answer, **B. Nasal foreign body**, is the most plausible cause of unilateral mucopurulent rhinorrhea in a child. Children are notorious for placing small objects into their nostrils, which can cause a unilateral nasal discharge due to the body's attempt to expel the foreign object. This condition leads to localized inflammation and infection, manifesting as mucopurulent rhinorrhea.
## **Why Each Wrong Option is Incorrect**
- **Option A:** While allergic rhinitis can cause rhinorrhea, it is typically bilateral and more associated with sneezing, nasal itching, and a clear discharge that may become purulent with secondary infection.
- **Option C:** A **Dental problem** like a periapical cyst or sinusitis related to dental issues could cause purulent discharge but usually wouldn't present as unilateral mucopurulent rhinorrhea without other symptoms like facial pain or dental issues.
- **Option D:** **Anatomical abnormality** might contribute to recurrent sinusitis or rhinorrhea but is less likely to present acutely with mucopurulent rhinorrhea compared to a nasal foreign body.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is to always consider a **nasal foreign body** in the differential diagnosis of unilateral nasal discharge in children. A simple anterior rhinoscopy or nasal endoscopy can often reveal the cause. Prompt removal of the foreign body usually leads to quick resolution of symptoms.
## **Correct Answer:** . Nasal foreign body