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).
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.
Problems affecting the nose including epistaxis, polyps, carcinoma and septal perforation.
Presentations of conditions affecting the mouth including herpes zoster, angioedema...
Management of acute otitis media, including when to avoid antibiotic prescriptions...
Significant pathologies need to be considered in some cases.
A presentation of painful ears was found to have a systemic cause.
Dr Nigel Stollery compares the presenting features of four eye conditions.
Epistaxis may affect any age group, but in the elderly patient, specific treatment...
Diagnosis of lip swellings including granulomatous cheilitis, venous lake, milk blisters...
Dr Jean Watkins discusses the presentation and treatment of this common condition.
How to treat seasonal exacerbations in primary care. By Dr Suneeta Kochhar
By Dr Kathryn Oakland, foundation doctor, North East Thames and Mr Joseph Dawson,...
Contributed by Dr Philip Marazzi, a GP in East Horsley, Surrey