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Clinical Knowledge
ENT (Ears, Nose & Throat)
DOWNLOADS
path: EAR, NOSE & THROAT
- .listing
- a generalists guide to ent.ppt
- acoustic neuroma osce station.doc
- audiometry.doc
- bpv – brandt-daroff exercises.docx
- dental problems – case study.doc
- ear wax.ppt
- easy peasy eardrums.ppt
- emergencies in ent.doc
- emergencies in ent.pdf
- ent and the evidence.pdf
- ent core curriculum.doc
- ent emergencies.pdf
- ent for general practice.ppt
- ent in general practice part 1.doc
- ent in general practice part 2.doc
- ent in primary care.pdf
- ent problems in general practice.pdf
- ent procedures of limited value.ppt
- ent tutorial framework.doc
- grommets and tonsils.ppt
- hallpike and epleys manouvre.pdf
- normal ear and surface anatomy.ppt
- obstructive sleep apnoea.doc
- otitis media.ppt
- sinusitis.doc
- sleep apnoea – epworth sleepiness scale.pdf
- sleep apnoea – epworth score.doc
- snoring and obstructive sleep apnoea.ppt
- tinnitus.ppt
- vertigo.ppt
- vertigo2.ppt
Important features in the history
- If you would like to have a go at adding some “top tips” to this page for this specialty (and have your name displayed proudly with bradfordvts), please email me – rameshmehay@googlemail.com
Important features in the Examination
Vertigo: The HINTS examination
The HINTS exam- this exam helps to differentiate between peripheral and central cause of vertigo, such as vestibular neuritis vs stroke. It should be done on patients who present within hours or days of on going vertigo and nystagmus.
- Reassuring HINTS exam is – Unidirectional nystagmus, No vertical skew, and abnormal head impulse test. likely vestibular neuritis.
- Worrying HINTS test is – Bidirectional or vertical nystagmus, vertical skew or normal head impulse test. Need imaging to rule out posterior or cerebellar stroke.
Red Flags
- Acute hearing loss is an emergency if sensorineural. Needs brain MRI.