Diseases of the ears, nose and throat are amongst the most common presentations in primary care, and many patients are referred to ENT clinics in secondary care for further medical and surgical management. To help reduce these referrals this book guides readers through the basic anatomy and pathophysiology and then, for each presentation, provides: * an introduction which describes possible causes and the history required * a section on diagnosis, including which examinations and investigations to consider * management options, complications to look out for, and when to refer. This book offers practical guidance and so helps to fill the gap between ENT theory and the actual work experience. In addition to covering the common presentations, from allergic rhinitis to vertigo, via dysphagia and halitosis, the book also provides a description of the main investigations and covers the particular problems occurring in paediatric cases. This is the ideal clinical text for GPs, ENT trainees, medical students and nurse practitioners looking to manage common ENT conditions.
Chapter 1 Clinical assessment 1.1 How to take a focused history of the ear, nose and throat 1.2 How to perform a clinical examination of the ear, nose and throat 1.3 Investigations in ENT 1.4 ENT tests performed during the clinical examination 1.5 Specialist tests 1.6 Vestibular function tests 1.7 Other investigations used in ENT Chapter 2 Ear 2.1 Basic anatomy of the ear 2.2 Differential diagnosis of ear problems 2.3 Deafness 2.4 Sudden hearing loss 2.5 Wax 2.6 Otitis externa 2.7 Otitis media 2.8 Cholesteatoma 2.9 Perforation of the tympanic membrane 2.10 Otosclerosis 2.11 Acoustic neuroma 2.12 The discharging ear 2.13 Earache 2.14 Dizziness 2.15 Benign paroxysmal positional vertigo 2.16 Labyrinthitis 2.17 Meniere's disease 2.18 Tinnitus 2.19 Presbycusis 2.20 Facial paralysis 2.21 Foreign body in the ear 2.22 Boil in the ear Chapter 3 Nose 3.1 Basic anatomy of the nose 3.2 Differential diagnosis of nose problems 3.3 Rhinitis 3.4 Epistaxis 3.5 Sinusitis 3.6 Fractures of the nasal bone 3.7 Anosmia 3.8 Foreign body in the nose 3.9 Boil in the nose 3.10 Perforation of the nasal septum 3.11 Sleep apnoea Chapter 4 Throat 4.1 Basic anatomy of the throat 4.2 Differential diagnosis of throat problems 4.3 Dysphagia 4.4 Tonsillitis 4.5 Peritonsillar abscess 4.6 Pharyngitis 4.7 A change in voice 4.8 Laryngitis 4.9 Stridor 4.10 Acute epiglottitis 4.11 Aphthous ulcer 4.12 Salivary gland stones 4.13 Foreign body in the throat 4.14 Halitosis 4.15 Lump in the neck Chapter 5 Paediatric ENT 5.1 Introduction 5.2 Guide to ENT issues covered elsewhere 5.3 Paediatric history taking 5.4 Rhinitis 5.5 Sinusitis 5.6 Epistaxis 5.7 Nasal trauma 5.8 Obstructive sleep apnoea 5.9 Adenoiditis 5.10 Cystic fibrosis 5.11 Deaf child 5.12 Acute otitis media 5.13 Tinnitus 5.14 Vertigo 5.15 Laryngeal papillomatosis Chapter 6 Systemic disease affecting ears, nose and throat 6.1 Introduction 6.2 The skin 6.3 The eye 6.4 The nervous system and neurological diseases 6.5 Endocrine diseases 6.6 Congenital disorders 6.7 Vascular disease 6.8 Maxillofacial disease 6.9 Bone and joint pathology 6.10 Gastroenterology 6.11 Medication Chapter 7 Operations Index
