RCGP Curriculum - 15.4 ENT and Facial Problems

This section of our curriculum guide refers to statement 15.4, ENT and Facial Problems, produced by the Royal College of General Practitioners (RCGP).

Photograph: Jason Heath Lancy
Photograph: Jason Heath Lancy

Many ENT symptoms are common in general practice. In adults, external ear problems, especially wax, are the most common reason for attendance. Otitis media is the commonest presentation in ages 0–4 years, falling in older children, and hayfever affects around 1 in 10 people.

Guidelines for appropriate management are widely available but not always used. Inappropriate referrals to secondary care increase waiting times, consume resources and can be harmful to patients. Early detection of head and neck cancer is vital and GPs should be alert to the possibility.

Here we have collated key articles from our journals to help you meet the curriculum requirements in this area.

In this section you will find articles on:

Symptoms

Ear problems

Nasal problems

Throat problems

Oral problems

Facial problems

Other problems

Investigations

Treatment

Emergency care

Prevention

Other related articles

 

Symptoms

Croup
Discharging ear
Dizziness and vertigo
Dysphagia
Ear wax
Epistaxis
Facial weakness
Goitre and thyroid nodules

Hearing loss

Hoarseness

Lymph nodes and other neck swellings

Otalgia

Sore throat

Speech delay and disorders

Tinnitus

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Ear problems

Vertigo; Ménière’s disease

Otitis media (suppurative/secretory); otitis externa; perforated tympanic membrane; cholesteatoma

Unilateral hearing loss in the absence of external ear pathology or obvious cause

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Nasal problems

Nasal fracture, haematoma auris
Infective and allergic rhinitis; sinusitis; nasal polyps

Throat problems

Pharyngitis, tonsillitis and laryngitis

Snoring and sleep apnoea

Gastro-oesophageal reflux disease (GORD)

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Oral problems

Salivary stones

Oral infections, candida and herpes

Facial problems

Bell’s palsy; tempero-mandibular pain, trigeminal neuralgia

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Other problems

Glandular fever
Suspected head and neck cancer

Investigations

Otoscopy

Tuning fork tests

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Treatment

Foreign bodies in the ear & nose

Fractured nose

Nasal cautery

Watchful waiting and delayed prescriptions in ENT

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Emergency care

Auricular haematoma or perichondritis

Epistaxis

Otitis externa if extremely blocked or painful

Septal haematoma

Tonsillitis with quinsy

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Prevention

Iatrogenic causes of ototoxicity

Screening for hearing impairment in adults and children

Other related articles

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These curriculum resources are regularly updated with relevant articles from our range of healthcare publications. All articles are reviewed by GP advisers. We have set the standard lifetime of an article at two years and will aim to renew all articles within that timeframe. However, some older articles will remain in the listing if our reviewers believe there to be no significant changes to the topic covered.

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