Pediatric Clinical Practice Guidelines for Nurses in Primary Care

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Chapter 9 - Ears, Nose and Throat (ENT)

Assessment of the Ears, Nose and Throat

• History of Present Illness and Review of System
• Examination of the Ears, Nose and Throat

Common Problems of the Ears, Nose and Throat

• Otitis Externa
• Acute Otitis Media
• Chronic Otitis Media (Purulent Draining Ear)
• Serous Otitis Media (Otitis Media with Effusion)
• Foreign Body in the Nose
• Stomatitis
• Pharyngotonsillitis
• Bacterial Pharyngotonsillitis
• Viral Pharyngotonsillitis
• Sinusitis

Emergency Problems of the Ear, Nose and Throat

• Retropharyngeal and Peritonsillar Abscess
• Epistaxis

Common Dental Problems in Infants

• Eruption Cyst
• Epstein Pearls
• Neonatal Teeth
• Normal Tooth Development

Common Oral and Dental Problems in Older Children

• Ankyloglossia (Tongue-Tie)
• Migratory Glossitis (Geographic Tongue)
• Thumb Sucking
• Congenital Absence of Teeth (Anodontia)
• Partial Absence of Teeth (Oligodontia)
• Other Common Abnormalities of the Teeth
• Common Malocclusions
• Dental Caries
• Milk Caries

For more information on the history and physical examination of the ears, nose and throat in older children and adolescents, see chapter 2, "Ears, Nose and Throat (ENT)," in the adult clinical guidelines (First Nations and Inuit Health Branch 2000).

For otitis externa, chronic otitis media (purulent draining ear) and sinusitis, clinical presentation and management are the same in adults and children. For information on these conditions, see chapter 2, "Ears, Nose and Throat (ENT)," in the adult clinical guidelines (First Nations and Inuit Health Branch 2000).

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