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GEM - Curriculum Statement 15.4 ENT and Facial Problems

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Knowledge Base for the nMRCGP

Curriculum Statement 15.3 ENT and Facial Problems

Emboldened terms are linked to GPnotebook entries.

Symptoms:

hearing loss
- Hearing loss section on GPnotebook
ear wax
- ear wax reference from GPnotebook
otalgia
- otalgia reference from GPnotebook
discharging ear
- discharging ear reference from GPnotebook
dizziness
- dizziness section on GPnotebook
tinnitus
- tinnitus section on GPnotebook
epistaxis
- epistaxis section on GPnotebook
sore throat
- sore throat section on GPnotebook
hoarseness
- hoarseness section on GPnotebook
dysphagia
- dysphagia section on GPnotebook
croup
- croup section on GPnotebook
goitre
- goitre section on GPnotebook
lymph nodes and other neck swellings
- neck swelling section on GPnotebook
speech delay
- speech delay section on GPnotebook
foreign bodies
- foreign body in the ear reference from GPnotebook
- foreing body in the nose reference from GPnotebook
facial weakness
- facial nerve palsy section on GPnotebook

Common and/or important conditions:

otitis media (suppurative/secretory)
- otitis media section on GPnotebook
otitis externa
- otitis externa section on GPnotebook
perforated tympanic membrane
- perforated tympanic membrane reference on GPnotebook
cholesteatoma
- cholesteatoma section on GPnotebook
vertigo
- vertigo section on GPnotebook
Ménière?s disease
- Meniere's disease section on GPnotebook
Bell?s palsy
- Bell's palsy section on GPnotebook
tempero-mandibular pain
- temperomandibular joint section on GPnotebook
trigeminal neuralgia
- trigeminal neuralgia section on GPnotebook
pharyngitis
- pharyngitis section on GPnotebook
tonsillitis
- tonsillitis section on GPnotebook
laryngitis
- laryngitis section on GPnotebook
glandular fever
- glandular fever section on GPnotebook
oral candida, herpes
- oral candida section on GPnotebook
- herpes simplex section on GPnotebook
salivary stones
- salivary stones section on GPnotebook
gastro-oesophageal reflux disease (GORD)
- GORD section on GPnotebook
Infective and allergic rhinitis
- rhinitis section on GPnotebook
sinusitis
- sinusitis section on GPnotebook
nasal polyps
- nasal polyps section on GPnotebook
Nasal fracture
- nasal fracture section on GPnotebook
haematoma auris
- haematoma auris section on GPnotebook
snoring and sleep apnoea
- snoring section on GPnotebook
- sleep apnoea section on GPnotebook
suspected head and neck cancer
- guidance for referral of suspected head and neck cancer on GPnotebook
unilateral hearing loss in the absence of external ear pathology or obvious cause

Investigation:

otoscopy
- otoscopy reference on GPnotebook
tuning fork tests
- tuning fork tests section on GPnotebook
Awareness of:
- pure tone threshold audiogram
  - pure tone audiogram section on GPnotebook
- speech audiometry, impedance tympanometry, auditory brainstem responses and otoacoustic emissions
  - speech audiometry reference on GPnotebook
  - impedance audiometry reference on GPnotebook
investigations may delay referral in suspected head and neck cancer

Treatment:

watchful waiting and use of delayed prescriptions
nasal cautery
fractured nose (need manipulation under anaesthetic within two weeks for optimum result)
- nasal fracture section on GPnotebook
Emergency care:
- septal haematoma
  - septal haematoma section on GPnotebook
- epistaxis
  - epistaxis section on GPnotebook
- tonsillitis with quinsy
  - tonsillitis section on GPnotebook
- oitis externa if extremely blocked or painful
  - otitis externa section on GPnotebook
- foreign body
  - foreign body in the ear reference from GPnotebook
  - foreing body in the nose reference from GPnotebook
- auricular haematoma or perichondritis
  - haematoma auris section on GPnotebook

Prevention:

screening for hearing impairment in adults and children
awareness of iatrogenic causes of ototoxicity.

GPnotebook educational modules (GEMs):

GEM - ENT problems

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