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Showing posts with the label ENT

Otitis externa

Patient presents with pain in the ear Side: Examination: Pain on retraction of the pina Discharge from the ear canal Reason for visit: Otitis externa Management: 1. Sofradex drops as prescribed 2. Gentle toileting of the ear prior to drops being put in 3. Regular simple analgesia Return if deterioration or concerns Keywords:  Otitis externa, Swimmer's ear, +otitisexterna

Tonsillitis

Patient presents with sore throat and fevers Examination: temp: Ear Nose and Throat exam: - Ear:  No redness or discharge - Clear rhinorrhoea - The throat is red and there is pus visible on enlarged tonsils Cervical lymphadenopathy present Respiratory exam : good air entry bilaterally No respiratory distress No crepitations or wheeze Nil signs of meningitis: - Nil photophobia - nil purpuric rash - Nil neck stiffness Reason for visit: Tonsillitis Management: 1. Regular paracetamol +/- Ibuprofen 2. Oral Antibioitcs as charted 3. Rest 4. Keep well hydrated with regular water 5. Sore throat can be treated with regular aspirin gargles:  Dissolvable aspirin in a small amount of water and gargled (Do not swallow) Return here or to ED if not improving or concerns they are getting worse Keywords:  Tonsillitis, +tonsillitis