Category Archives: ENT

Ear conditions

Exostoses: overgrowths of bone in the external ear canal; they present as whitish lumps narrowing the canal. They are particularly common in people who spend a lot of time swimming in cold water. They can obstruct wax or cause hearing … Continue reading

Posted in ENT | Leave a comment

Treatment of chronic vertigo

There’s a useful article on the BMJ page right now, on chronic vertigo; apparently, first-line treatment for chronic vertigo is vestibular rehabilitation. This involves daily low-intensity exercises for 6 – 12 weeks to stimulate natural vestibular rehabilitation, and has been … Continue reading

Posted in Credits 2017, ENT, Vertigo | Leave a comment

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

Posted in ENT | Leave a comment

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

Posted in ENT | Leave a comment

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