Ear, nose and throat (ENT)

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

Investigations:

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.

Ear, nose and throat (core topic material)

Ear, nose and throat (additional material)