Category Archives: ENT

Exercise-induced laryngeal obstruction

The cause of EILO is unclear, but it may be due to laryngeal hypersensitivity. It’s most common in athletic females under 20. Symptoms include shortness of breath, throat discomfort, chest tightness, and wheeze developing during intense exercise. EILO, for obvious … Continue reading

Posted in Credits 2016, ENT, Respiratory | Leave a comment

Vertigo

BPPV Some new info on the Dix-Hallpike manoeuvre: Stand in front of the patient (not behind as I’ve been doing) Look at them for 30s first. (Why? Must ask DNUK.) After the patient is lain down, the nystagmus usually appears … Continue reading

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Ear problems

Cholesteatoma Cholesteatomas can affect the attic region of the tympanic membrane, making them difficult to see on examination. The two signs of concern to look for are: Persistent foul-smelling discharge, not responding to treatment over several weeks Unilateral hearing loss. … Continue reading

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Eustachian tube dysfunction

Presents with fullness in the ear, sometimes reduced hearing, sometimes hearing a clicking sound on swallowing. It can be triggered by rhinosinusitis (viral or allergic), by adenoidal enlargement (much commoner in children than in adults) or, extremely rarely, by nasopharyngeal … Continue reading

Posted in Credits 2014, ENT | Leave a comment

Treatment for acute rhinosinusitis

Is, of course, usually nothing because viral blah blah. However – if a patient has worsening symptoms after 5 days or persistent symptoms after ten days, then it’s worth giving them nasal steroids (if they’re systemically well) or 5 – … Continue reading

Posted in BMJ, Credits 2013, ENT | Leave a comment

BJGP September 2012

Two for the ‘easily missed’ category: Eagle Syndrome. This has nothing to do with being bald or growing feathers, but refers to symptoms caused by elongation of the styloid bone/ossification of the stylohyoid ligament, with consequent impingement on local structures. … Continue reading

Posted in Credits 2012, ENT, Gastroenterology | Leave a comment

Vestibular neuritis

Apparently what we generally diagnose as ‘viral labyrinthitis’ is actually far more likely to be BPPV or vestibular migraine. Very occasionally it might be vestibular neuritis, which is what we actually mean when we say ‘labyrinthitis’ (literal labyrinthitis is almost … Continue reading

Posted in Credits 2012, ENT, Vertigo | Leave a comment