Clinical Case Database / Category: Patient Management
Unusual ENT cases
Ms S Ahmed, Miss S Ruane
Foundation Years Journal, volume 7, issue 4, p.71 (123Doc Education, London, April 2013)
ENT medicine covers a variety of common pathologies from rhinosinusitis to tonsillitis. However it also encounters interesting and difficult cases that require prompt diagnosis, efficient investigation and effective management. As foundation doctors the presentation and management of such conditions can be challenging but maintaining a high clinical suspicion of unusual symptoms, signs and results with a willingness to seek expert, senior help will ensure optimum patient care. In this article some rare but noteworthy cases will be discussed, alongside a brief overview of literature surrounding the conditions.
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Ms S Ahmed
Consultant ENT surgeon
Royal Lancaster Infirmary.
Miss S Ruane
FY1 at Wythenshawe Hospital, UHSM.
1. Oh J-K, Lee K-S, Shim J-J, Yoon S-M, Yun I-G, Bae H-G. Postoperative Course and Recurrence of Chronic Subdural Haematoma. J Korean Neurosurg Soc 2010; 48; 518-23.
2. Yu G, Han C, Zhang M, Zhuang H, Jiang Y. Prolonged drainage reduces the recurrence of chronic subdural haematom. British Journal of Neurosurgery 2009; 23;6;606-11.
3. Oh J-K, Lee K-S, Shim J-J, Yoon S-M, Yun I-G, Bae H-G. Postoperative Course and Recurrence of Chronic Subdural Haematoma. J Korean Neurosurg Soc 2010; 48; 518-23.
4. Stanisic M, Lund-Johansen M, Mahesparan R. Treatment of chronic subdural haematoma by burr-hole craniotomy in adults; influence of some factors on postoperative recurrence. Acta Neurochir 2005;147; 1249-57.
5. Bae M, Wessling H, Salca H, Echeverra P. Use of twist drill craniotomy with drain in evacuation of chronic subdural haematomas: independent predictors of recurrece. Acta Neurochir 2007; 153; 1097-1103.
6. Asrar L, Raza S, Ali S, Mohammad R, Khan S. Segmental lower lobe collapse of the left lung associated with mediastinitis secondary to parapharyngeal abscess and quinsy. Journal of Otolaryngology 2004; 33;4; 261-2.
7. Sichel J-Y, Attal P, Hocwald E, Eliashar R. Redefining Parapharyngeal Space Infections. Annals of Otology, Rhino logy & Laryngology 2006 115;2; 117-23.
8. Agada F, Sharma R, Makura G. Atypical presentation of cutaneous tuberculosis and retropharyngeal neck abscess. ENT Journal 2006 85;1; 60-2.
9. Hayes, D. Tracheopathia Osteoplastica Misdiagnosed as Asthma. Journal of Asthma 44:253-255.
10. Hayes, D. Tracheopathia Osteoplastica Misdiagnosed as Asthma. Journal of Asthma 44:253-255.
11. Penna C, Thompson L. Tracheopathia Osteoplastica. ENT Pathology Clinic 82;6; 427.
12. Olsen A, Minnn R. Tracheopathia Osteoplastica. JAMA 155;18; 1563-1565.
13. Hayes, D. Tracheopathia Osteoplastica Misdiagnosed as Asthma. Journal of Asthma 44:253-255.
14. Dilme-Carreras E, Iglesias-Sancho M, Marquez- Balbas G, Sola-Ortigosa J, Umbert-Millet P. Cobb Syndrome: Case Report and Review of the Literature. Dermatology 2010; 221; 110-112.
15. Matullo S, Samdani A, Betz R. Low Back Pain and Unrecognised Cobb Sydnrome in a Child Resulting in Paraplegia. Orthopaedics 2007;30;3; 237-8.
16. Dilme-Carreras E, Iglesias-Sancho M, Marquez- Balbas G, Sola-Ortigosa J, Umbert-Millet P. Cobb Syndrome: Case Report and Review of the Literature. Dermatology 2010; 221; 110-112.
17. Sardana K, Sehgal V, Mahajan S, Bhushan P. Cobb Syndrome in an Indian Girl. Skinmed 2006; Jan- 51-53.
18. Matullo S, Samdani A, Betz R. Low Back Pain and Unrecognised Cobb Sydnrome in a Child Resulting in Paraplegia. Orthopaedics 2007;30;3; 237-8.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.