Although year 3 focuses on history taking and examination, year 3 students will be expected to have an understanding of investigation and management of the most common and important conditions listed below:
Core conditions - Head and neck cancer, salivary gland obstruction and tumours, developmental and acquired facial deformity, facial pain
Specific Acute conditions - Facial trauma, salivary gland blockage, neck lump, oral cancer, mouth ulceration, facial pain, dog bite
Other conditions - Ludwig’s angina, deep space neck infection, numb face, cranial arteritis, surgical management of skin cancer, airway management
Presentations - Acute tongue swelling, dry mouth, mouth ulcer, locked jaw, black eye, breathing difficulty, head ache
Bedside tests - Cranial nerve exam, examination of the mouth, cardiovascular examination of the surgical patient, surgical wound examination
Core: Facial radiology: USS/CT/MRI/plain xray. FNAC/minitrucut biopsy, oral and wound swabs. Blood tests: FBC, coag screen, INR, CRP, ESR, nasendoscopy.
Drugs : Steroids, local anaesthetic, antimicrobials, IV fluids, NG feeding.
Theraputic procedures: Pass NG tube, perioperative sepsis management: blood cultures, urine dipstick, incision and draining of H and N abcess, orif facial fractures, suturing of skin lacerations.
Therapy and monitoring adjuncts – Arterial blood gases, pulse oximetry, blood pressure monitoring, urine output measurement.