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MEDICAL / Otorhinolaryngology
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A lump in the neck
When assessing the aetiology, take into account possible symptoms of infection, the patient&rsquo...
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Acute acoustic trauma
A sudden exposure to an intense sound (e.g. a gunshot, fireworks, music) may cause hearing impair...
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Acute frontal sinusitis
Identify acute frontal sinusitis, provide initial care, and identify patients needing immediate t...
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Acute otitis media in children: treatment, follow-up and prevention
Treatment is based on careful diagnosis . If acute otitis media (AOM) is only suspected antimicro...
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Adult with ankyloglossia
Ankyloglossia (a tongue-tie) is usually diagnosed and treated in childhood. Nevertheless, ankylog...
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Allergic rhinitis
The connection and interrelatedness between rhinitis and asthma must be borne in mind, and whenev...
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Bad breath
Neglecting oral hygiene is the most important reason for bad breath. In at least 80% of the cases...
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Benign paroxysmal positional vertigo (BPPV)
Benign paroxysmal positional vertigo (BPPV) is the most common vertigo inducing vestibular disord...
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Cancers of the head and neck
This group consists of cancers of the oral cavity, pharynx, upper respiratory tract and salivary ...
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Chronic otitis media
Patients with suspected or diagnosed cholesteatoma or permanent perforation of the eardrum in a d...
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Diagnosis of acute sinusitis
Acute rhinosinusitis is most often a self-limiting disease, in the treatment of which antibiotics...
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Diagnosis of otitis media: symptoms, clinical examination and findings
Diagnosis is based on ear-related signs and symptoms. The child should not unnecessarily be label...
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Differential diagnostics of episodic symptoms
The majority of episodic symptoms are benign, but the possibility of potentially serious conditio...
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Drainage of a peritonsillar abscess
Peritonsillar abscess is the most common deep infection of the head and neck and usually a compli...
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Dryness of the mouth
Dry mouth may be caused by a systemic disease or by medication. The development of dental caries ...
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Dysphagia and globus sensation (globus pharyngeus)
Dysphagia should be identified and the patient referred for further investigations without delay....
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Ear pain in an adult
Identify the origin of local pain by taking a careful history and by physical examination. Consid...
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Ear wax
Ear wax protects the ear canal from infection. Do not remove ear wax unless it impairs hearing or...
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Enlarged lymph nodes and other neck lumps in children
Bilateral lymph node enlargement on the neck is in most cases connected with a viral infection. A...
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Foreign body in the gastrointestinal tract of a child
The type, consistency, and form of a swallowed foreign body determine the intensity of attempts t...
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Foreign body in the nose
Typical foreign bodies in the nose include pearls, marbles, plastic toy parts, coins, peas, nuts ...
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Foreign body in the respiratory passages
Personnel at emergency telephone service and health care facilities should know simple measures t...
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Fracture of the nose
The diagnosis of a nasal fracture is clinical. A nasal fracture is reduced as soon as the swellin...
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Fungal infections of the mouth
Candida albicans is present as a harmless commensal in the oral cavity of as many as 20–50%...
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Glossitis
Glossitis may be related to local conditions (infections, irritation) or be a sign of a systemic ...
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Guidelines for antimicrobial therapy
Careful clinical and laboratory investigations are essential to proper diagnosis. Local resistanc...
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Hoarseness, laryngitis and dysphonia
In the treatment of laryngitis the most important advice to the patient is voice rest, to avoid c...
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Idiopathic sudden sensorineural hearing loss
Idiopathic sudden sensorineural hearing loss (ISSHL) is defined as an abrupt hearing loss of unex...
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Ingestion of a caustic substance in a child
Caustic substances include acids (60–80% vinegar, acid detergents, battery acid, fiberglass...
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Interpretation of an audiogram and impaired hearing
Reliable hearing examinations require adequate equipment and surroundings as well as qualified pe...
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Laryngitis in children
Laryngitis is a common infection in small children. Most commonly it occurs in children aged 6&nd...
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Mononucleosis
To recognize the disease and differentiate it from e.g. streptococcal tonsillitis and primary HIV...
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Motion sickness
Mild symptoms need no other treatment than advice to the patient. Occasional symptoms and symptom...
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Nasal polyps
Nasal polyps (nasal polyposis) is a manifestation of chronic sinusitis. Nasal polyps should be su...
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Nasal stuffiness
Nasal stuffiness is a common, uncomfortable complaint and causes mouth breathing, dry mouth and m...
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Nausea and vomiting
The most common cause of acute nausea is an acute gastroenteritis. The patient usually has concur...
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Obstructive sleep apnoea in the adult
Sleep-related breathing disorders reduce the quality of sleep and cause daytime fatigue.Untreated...
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Oral mucosal ulcers
Assess and eliminate possible irritating factors, e.g. sharp tooth edges or a rubbing prosthesis....
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Otitis media in children: definition, risk factors and pathogenesis
About 40% of children experience one or more episodes of acute otitis media (AOM) by the age of o...
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Pain in and around the eye
Pain can be referred to the eye from many structures in the skull and neck. The characteristics a...
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Peripheral facial paralysis
Peripheral facial paralysis is often idiopathic (known as Bell’s palsy) but it may also be ...
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Pituitary tumours
The majority of pituitary tumours are benign adenomas.The tumours may be hormonally active and be...
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Respiratory tract infections in adults
In more than half of the cases, the causative agent is some type of rhinovirus. There is currentl...
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Rhinosinusitis in children
During a common cold a child has secretions in the nasal meatuses and in the maxillary sinuses, i...
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Sore throat and tonsillitis
A throat swab culture or a rapid test is taken from patients with clear signs of tonsillitis with...
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Speech and language development
Children deviating from the age-related development path should be referred to a speech therapist...
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Stomatitis in children
Aetiology clinical presentation and tratment of stomatitis in children
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Structural anomalies in children
None of the structural anomalies listed below requires systematic screening in primary (with the ...
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Swelling of the salivary glands
Antibiotic treatment is necessary if the swelling of the salivary gland is associated with purule...
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Technical rehabilitation of hearing impairment
According to the prevalence of hearing defects, 5% of the population would be in need of hearing ...
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Tinnitus
Establish the aetiology. In some cases, the cause may be eliminated (noise, otosclerosis, acousti...
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Tonsillitis and pharyngitis in children
Antimicrobials are indicated in infections caused by group A streptococci diagnosed by culture or...
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Tularaemia
There are several forms of tularaemia. In the most common, ulceroglandular form the patient has f...
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Tumours of the ear canal
Smooth bony prominences, i.e. exostoses, which can be detected under the healthy skin, are a comm...
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Tympanometry
Tympanometry generates a graphic curve known as a tympanogram. A tympanogram yields information a...
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Tympanostomy tubes
The insertion of a tympanostomy tube (ventilation tube, grommet) is always based on individual ev...
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Vertigo
Benign postural vertigo, cervical vertigo, orthostatic hypotension and vestibular neuronitis shou...
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Viral infections of the oral mucosa
Herpes simplex virus (HSV) type 1 is usually responsible for symptoms in the oral mucosa and the ...
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Whooping cough
Vaccination against whooping cough (pertussis) is given as a part of the national immunization pr...
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