Ear, Nose and Throat

Ear, Nose and Throat

Peate, Ian

John Wiley & Sons Inc

03/2025

160

Mole

Inglês

9781394252657

15 a 20 dias

Descrição não disponível.
Preface viii

Acknowledgements x

1 Anatomy and Physiology: Ear, Nose and Throat 1

Anatomy and Physiology of the Ear 1

Physiology of Hearing 5

The Organ of Corti 6

Physiology of Balance 6

Integration of Hearing and Balance 7

Anatomy and Physiology of the Nose 8

Olfaction 10

Resonance of the Voice 12

Anatomy and Physiology of the Throat 13

The Anatomy of the Throat 13

The Physiology of the Throat 14

Conclusion 15

Glossary of Terms 15

Multiple Choice Questions 16

References 18

2 Assessment of the Ears, Nose and Throat 19

Assessment of the Ears 19

History Taking 19

The Physical Examination 21

Assessing the Ear Canal and the Eardrum 23

Inspecting the Tympanic Membrane 24

Hearing Acuity Tests 24

Assessment of the Nose 26

History Taking 26

The Physical Examination 28

Assessment of the Throat 30

Documentation and Follow-up 32

Conclusion 32

Glossary of Terms 33

Multiple Choice Questions 34

References 35

3 Tinnitus 36

Pathophysiological Changes Associated with Tinnitus 36

Epidemiology 39

Risk Factors 40

Clinical Presentation 42

Clinical Investigations and Diagnosis 42

Management 46

Health Teaching 47

Conclusion 48

Glossary of Terms 49

Multiple Choice Questions 50

References 52

4 Meniere's Disease 53

Pathophysiological Changes Associated with Meniere's Disease 53

Epidemiology 54

Risk Factors 54

Clinical Presentation 58

Stages of Meniere's Disease 59

Clinical Investigations and Diagnosis 60

Findings in Meniere's Disease 63

Management 64

Driving 65

Health Teaching 65

Conclusion 67

Glossary of Terms 68

Multiple Choice Questions 69

References 70

5 Sinusitis 72

The Paranasal Sinuses 72

Functions of the Paranasal Sinuses 72

Pathophysiological Changes Associated with Sinusitis 73

Anatomy and Drainage Pathways 74

Mechanisms of Sinusitis Development 75

Clinical Course of Infections 75

Epidemiology 77

Risk Factors 77

Clinical Presentation 79

Differential Diagnoses 80

Complications 80

Clinical Investigations and Diagnosis 81

Chief Complaint 81

Symptom Description 81

Associated Factors and Conditions 82

Environmental and Occupational Exposures 83

Medications and Treatments 83

Lifestyle Factors 83

Family History 83

Review of Systems 84

Management 85

Health Teaching 85

Conclusion 87

Glossary of Terms 88

Multiple Choice Questions 89

References 90

6 Nasal Polyps 91

Nasal Obstruction 91

Anatomical Blockage 91

Inflammatory Conditions 91

Foreign Body in the Nose 91

Clinical Approach and Management 92

Pathophysiological Changes Associated with Nasal Polyps 92

Cytokine and Chemokine Release 93

Epithelial Damage and Remodelling 94

Tissue Oedema 94

Structural and Functional Alterations 94

Immunological Factors 94

Genetic Factors 94

Microbiome Alterations 94

Epidemiology 95

Risk Factors 96

Clinical Presentation 98

Clinical Investigations and Diagnosis 99

Contents vii

Nasal Endoscopy 100

Allergy Testing 100

Aspirin Sensitivity Testing 100

Biopsy 100

Laboratory Tests 100

Differential Diagnosis 100

Functional Endoscopic Sinus Surgery 101

Management 101

Health Teaching 103

Conclusion 104

Glossary of Terms 105

Multiple Choice Questions 105

References 106

7 Laryngeal Cancer 108

Communicating Effectively 108

Pathophysiological Changes Associated with Laryngeal Cancer 109

Cellular Changes 109

Structural and Functional Changes 110

Systemic Changes 110

Advanced Stages 110

Epidemiology 110

Risk Factors 111

Clinical Presentation 113

Clinical Investigations and Diagnosis 115

Management 116

Health Teaching 119

Conclusion 121

Glossary of Terms 121

Multiple Choice Questions 122

References 123

8 Tonsillitis 125

Lymphoid Tissue 125

Quinsy 125

Pathophysiological Changes Associated with Tonsillitis 127

Epidemiology 129

Risk Factors 129

Clinical Presentation 130

Differentiating Viral and Bacterial Tonsillitis 131

Clinical Investigations and Diagnosis 132

Management 137

Health Teaching 137

Conclusion 138

Glossary of Terms 139

Multiple Choice Questions 139

References 141

MCQ Answers 142

Index 143
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