ENT

2021 ◽  
pp. 75-92
Author(s):  
Philippa Tostevin

This chapter contains 33 questions that encompass all of the important areas of ear, nose, and throat (ENT), with detailed explanations. The questions are based on the important knowledge that needs to be accrued as an undergraduate or a recently qualified doctor, as many readers may not have the opportunity to work as a junior doctor in an ENT team before treating ENT patients in the Emergency Department or in a general practice setting. Unique to this series, questions are rated by difficulty and are cross-referenced to the eleventh edition of Oxford Handbook of Clinical Specialties to track revision progress and revise effectively.

Author(s):  
Philippa Tostevin

Ear, nose, and throat (ENT) surgery is a fascinating specialty. It is involved in the diagnosis and management of a vast range of diseases presenting from birth through all ages. The pathologies covered range from congenital airway obstruction in the neonate to head and neck malignancies in the elderly. Systemic diseases can also manifest for the first time in the ENT area. The creation of a surgical airway in the form of a tracheostomy can be lifesaving, but some ENT surgery is performed to improve quality of life, so it is particularly important to understand the indications for surgical interventions. In contrast to other surgical specialties, many of the patients who are seen in the outpatient setting do not need surgery and medical management is required. For those interested in ENT surgery as a career, there are different areas within this diverse field that can be followed to a specialist level. These include rhinology, otology, and neuro-otology, in addition to the specialist areas of paediatric ENT, head and neck cancer surgery, voice, and facial plastic surgery. A thorough knowledge and understanding of the diagnosis and management of common ENT conditions is vital for those who wish to work in general practice, paediatrics, or emergency medicine. ENT conditions in children represent a very large proportion of the workload in any general practice setting. Various foreign bodies can be swallowed, inhaled, or inserted into the nose or ear, so an understanding of how and when these need to be removed is essential for any junior doctor working in the Emergency Department. In this chapter, the questions are based on the important knowledge that needs to be accrued as an undergraduate or a recently qualified doctor, as many readers may not have the opportunity to work as a junior doctor in an ENT team before treating ENT patients in the Emergency Department or in a general practice setting.


1997 ◽  
Vol 31 (2) ◽  
pp. 99-104 ◽  
Author(s):  
J V Parle ◽  
S M Greenfield ◽  
J Skelton ◽  
H Lester ◽  
F D R Hobbs

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Carl J. Brandt ◽  
Vibeke Brandt ◽  
Mathilde Pedersen ◽  
Dorte Glintborg ◽  
Søren Toubro ◽  
...  

Background. Internet-based complex interventions aiming to promote weight loss and optimize healthy behaviors have attracted much attention. However, evidence for effect is lacking. Obesity is a growing problem, resulting in an increasing demand for cost efficient weight loss programs suitable for use on a large scale, for example, as part of standard primary care. In a previous pilot project by Brandt et al. (2011) without a control group, we examined the effects of online dietician counseling and found an average weight loss of 7.0 kg (95% CI: 4.6 to 9.3 kg) after 20 months. Aims and Methods. To analyze the effects of a complex intervention using trained dieticians in a general practice setting combined with internet-based interactive and personalized weight management support compared with conventional advice with a noninteractive internet support as placebo treatment in 340 overweight patients during a 2-year period. Primary endpoints are weight loss and lowering of cholesterol (LDL). We will also explore patients’ sociodemographics and use of the intervention as well as the health professionals’ views and perceptions of the intervention (their role and the advice and support that they provide). Perspective. The project will generate knowledge on the cost-effectiveness of a complex internet-based intervention in a general practice setting and on barriers and acceptability among professionals and patients.


2021 ◽  
Vol 50 (7) ◽  
pp. 467-471
Author(s):  
Ellen O'Connor ◽  
Aoife McVey ◽  
Stephanie Demkiw ◽  
Nathan Lawrentschuk ◽  
Declan G Murphy

1995 ◽  
Vol 19 (4) ◽  
pp. 226-227 ◽  
Author(s):  
Walter Forbes ◽  
Diana E. Tracy ◽  
Ross J. Hamilton ◽  
John M. Eagles

Unrecognised and untreated depression is common, particularly in the elderly. This paper describes an attempt to offer screening for depression to 4,500 people over the age of 60. Only two people attended and both were depressed. This may have related to the arrangements for screening, to the symptoms of depression, to inadequate publicity or to characteristics of the elderly population. Others contemplating screening for depression in elderly populations are advised to adopt a different methodology.


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