Approach to the Patient with Chronic Nasal Congestion and Discharge Neil Bhattacharyya It is estimated that 15% to 20% of the US population suffers from chronic or recurrent nasal congestion….
Approach to the Patient with Hiccups Hiccup is usually a transient, innocuous symptom, but when persistent, it may become an exhausting and disabling problem. Intractable hiccup has been attributed to…
Approach to the Patient with Pharyngitis William A. Kormos A wide variety of organisms may be responsible for pharyngitis, ranging from viruses and streptococci to gonococci and Candida. The most…
Approach to the Patient with Sinusitis William A. Kormos Sinusitis is an inflammation of one or more of the four paired paranasal sinuses surrounding the eyes. It is an extremely…
Approach to the Patient with Otitis Neil Bhattacharyya Ear discomfort from otitis media accompanying an upper respiratory tract infection is one of the more common complaints encountered in primary care…
Evaluation of Tinnitus Neil Bhattacharyya Tinnitus is an important but nonspecific symptom of otologic disease. “Ringing,” “buzzing,” and “roaring” are terms used to describe the sensation, which can be extremely…
Approach to the Patient with Hoarseness Neil Bhattacharyya Hoarseness is a primary symptom of laryngeal disease. Most acute episodes are self-limited and due to viral upper respiratory tract infection or…
Evaluation of Smell and Taste Disturbances Neil Bhattacharyya The impairment of taste and smell, in addition to being intrinsically unpleasant, is annoying because it interferes with the ability to derive…
Evaluation of Acute Orofacial Pain and Swelling Edward T. Lahey III The primary care physician often encounters patients whose presenting complaints are orofacial pain and/or swelling. The differential diagnoses can…
Approach to Epistaxis Neil Bhattacharyya Most spontaneous nosebleeds are self-limited. Patients present for medical care when the bleeding becomes unusually brisk or will not stop or episodes become frequent. In…
