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ENT Made Easy

ENT Made Easy

Amtul Salam Sami

(2018)

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Book Details

Abstract

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.


Table of Contents

Section Title Page Action Price
Foreword ix
Preface x
Acknowledgements xi
Contributor xi
Dedications xi
Abbreviations xii
How to use this book xiii
Chapter 1 1
Clinical assessment 1
1.1 \x07How to take a focused history of the ear, nose and throat 2
1.2 \x07How to perform a clinical examination \nof the ear, nose and throat 4
1.3 Investigations in ENT 7
1.4 \x07ENT tests performed during the clinical examination 8
1.5 Specialist tests 10
1.6 Vestibular function tests 15
1.7 Other investigations used in ENT 17
Chapter 2 19
Ear 19
2.1 Basic anatomy of the ear 20
2.2 Differential diagnosis of ear problems 23
2.3 Deafness 25
2.4 Sudden hearing loss 28
2.5 Wax 30
2.6 Otitis externa 31
2.7 Otitis media 33
2.8 Cholesteatoma 36
2.9 Perforation of the tympanic membrane 38
2.10 Otosclerosis 40
2.11 Acoustic neuroma 43
2.12 The discharging ear 44
2.13 Earache 46
2.14 Dizziness 48
2.15 Benign paroxysmal positional vertigo 50
2.16 Labyrinthitis 52
2.17 Ménière’s disease 54
2.18 Tinnitus 57
2.19 Presbycusis 59
2.20 Facial paralysis 60
2.21 Foreign body in the ear 64
2.22 Boil in the ear 65
Chapter 3 67
Nose 67
3.1 Basic anatomy of the nose and sinuses 68
3.2 Differential diagnosis of nose problems 71
3.3 Rhinitis 72
3.4 Epistaxis 77
3.5 Sinusitis 80
3.6 Fracture of the nasal bone 83
3.7 Anosmia 85
3.8 Foreign body in the nose 88
3.9 Boil in the nose 89
3.10 Perforation of the nasal septum 90
3.11 Sleep apnoea 92
Chapter 4 95
Throat 95
4.1 Basic anatomy of the throat 96
4.2 Differential diagnosis of throat problems 98
4.3 Dysphagia 100
4.4 Tonsillitis 103
4.5 Peritonsillar abscess 106
4.6 Pharyngitis 107
4.7 A change in voice 109
4.8 Laryngitis 112
4.9 Stridor 114
4.10 Acute epiglottitis 119
4.11 Aphthous ulcer 121
4.12 Salivary gland stones 122
4.13 Foreign body in the throat 124
4.14 Halitosis 125
4.15 Lump in the neck 127
Chapter 5 129
Paediatric ENT 129
5.1 Introduction 130
5.2 Guide to ENT issues covered elsewhere 131
5.3 Paediatric history taking 132
5.4 Rhinitis 135
5.5 Sinusitis 136
5.6 Epistaxis 138
5.7 Nasal trauma 140
5.8 Obstructive sleep apnoea 141
5.9 Adenoiditis 143
5.10 Cystic fibrosis 144
5.11 Deaf child 145
5.12 Acute otitis media 147
5.13 Tinnitus 149
5.14 Vertigo 150
5.15 Laryngeal papillomatosis 152
Chapter 6 153
x07Systemic disease affecting ears, nose and throat 153
6.1 Introduction 154
6.2 Skin disorders 154
6.3 Eye 154
6.4 Nervous system and neurological diseases 155
6.5 Endocrine diseases 155
6.6 Congenital disorders 155
6.7 Vascular disease 155
6.8 Maxillofacial diseases 156
6.9 Bone and joint pathology 156
6.10 Gastroenterology 156
6.11 Medication 156
Chapter 7 157
Key operations in ENT 157
Index 161