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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GP looking into a patient's mouth

Pharyngitis - red flag symptoms

Significant pathologies that need to be considered when patients present with sore...

Epistaxis - red flag symptoms

An overview of red flag symptoms to look for in a patient with epistaxis.

Red flag symptoms: Tinnitus

The red flag symptoms associated with tinnitus, including when to make an emergency...

GPs should cut back on antibiotic prescriptions for sore throats, NICE says

GPs should advise most patients with sore throats to use paracetamol rather than...

Case study: Relapsing polychondritis

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

Differential diagnoses: Presentation and management of lip swellings

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

Identifying oral cancer

The main signs, symptoms and risk factors of oral cancer in primary care and when...

Spotting and referring oral cancer early

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

Nose problems: illustrated

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

Mouth conditions: illustrated

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

Acute otitis media in children

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

Differential diagnoses: Eye problems

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