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.

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Spotting and referring oral cancer early

Spotting and referring oral cancer early

November is Mouth Cancer Action Month, which is now the 14th most common cancer in...

Nose problems: illustrated

Nose problems: illustrated

Problems affecting the nose including epistaxis, polyps, carcinoma and septal perforation.

Mouth conditions: illustrated

Mouth conditions: illustrated

Presentations of conditions affecting the mouth including herpes zoster, angioedema...

Acute otitis media in children
1

Acute otitis media in children

Management of acute otitis media, including when to avoid antibiotic prescriptions...

Red flag symptoms: Pharyngitis

Red flag symptoms: Pharyngitis

Significant pathologies need to be considered in some cases.

Case study: Relapsing polychondritis

Case study: Relapsing polychondritis

A presentation of painful ears was found to have a systemic cause.

Differential diagnoses: Eye problems
2

Differential diagnoses: Eye problems

Dr Nigel Stollery compares the presenting features of four eye conditions.

Red flag symptoms: Epistaxis

Red flag symptoms: Epistaxis

Epistaxis may affect any age group, but in the elderly patient, specific treatment...

Differential diagnoses: Presentation and management of lip swellings

Differential diagnoses: Presentation and management of lip swellings

Diagnosis of lip swellings including granulomatous cheilitis, venous lake, milk blisters...

Pictorial case study - Nasal polyps

Pictorial case study - Nasal polyps

Dr Jean Watkins discusses the presentation and treatment of this common condition.

Managing allergic rhinitis
1

Managing allergic rhinitis

How to treat seasonal exacerbations in primary care. By Dr Suneeta Kochhar

Clinical Review - Gastro-oesophageal reflux disease

Clinical Review - Gastro-oesophageal reflux disease

By Dr Kathryn Oakland, foundation doctor, North East Thames and Mr Joseph Dawson,...

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