This book is for the non-specialist who may see problems in the head and neck. The aim is to help the reader develop a targeted approach in assessment and management. Such patients may be seen in the emergency department, in general practice, or on the ward. Because true ‘emergencies’ in the head and neck (i.e. a life- or sight-threatening condition) are few in number, a more broadly defined remit has been used, to cover urgent and potentially worrying problems which may present acutely. Generally speaking, patients do not present with a ready-made diagnosis, but rather with either a symptom located to an anatomical region (e.g. toothache, lump, or headache), or an obvious problem (e.g. nose bleed or injury). This is the starting point in each of the anatomically based chapters (‘Common presentations’ and ‘Common problems and their causes’). For each symptom there are a number of possible causes and these are listed. The next section in each chapter (‘Useful questions and what to look for’) lists the important diagnostic elements in relation to each symptom. The aim is to equip the reader with the necessary knowledge to enable them to quickly and accurately triage and diagnose a symptom or clinical problem. The remainder of each chapter details how to examine each site, useful investigations, and some notes on the conditions. Management and referral is also covered. This book is particularly helpful for those unfamiliar with ‘acute conditions’ of the head and neck and for those preparing for clinical examinations.
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