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ENT

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  1. ENT 2 week wait referral criteria

  2. Aims • To learn the ENT 2 week wait criteria. • Please get into groups for my fun quiz!

  3. 1. True or False • Is this one of the 2ww referral criteria? • An unexplained lump in the neck, of recent onset, or previously undiagnosed lump that has changed over a period of 3 to 6 weeks.

  4. 2. True or False • Is this one of the 2ww referral criteria? • Chronic halitosis for greater than 3 months with unknown cause.

  5. 3. True or False • Is this one of the 2ww referral criteria? • Unilateral unexplained pain in the head/neck area for more than 3 weeks, associated with otalgia but normal otoscopy.

  6. 4. True or False • Is this one of the 2ww referral criteria? • An unexplained persistent sore or painful throat.

  7. 5. True or False • Is this one of the 2ww referral criteria? • Unexplained painless red or white patches of the oral mucosa.

  8. 6. True or False • Is this one of the 2ww referral criteria? • Unexplained tooth mobility persisting for more than 3 weeks.

  9. 7. True or False • Is this one of the 2ww referral criteria? • Unilateral anosmia persisting for more than 3 weeks.

  10. 8. Question • Hoarseness persisting for more than 3 weeks should be referred via the 2 week wait. • What else should you do?

  11. 9. True or False • Is this one of the 2ww referral criteria? • Unilateral tinnitus associated with deafness.

  12. Answers • 1. An unexplained lump in the neck, of recent onset, or previously undiagnosed lump that has changed over a period of 3 to 6 weeks. • True

  13. Answers • 2. Chronic halitosis for greater than 3 months with unknown cause. • False

  14. Answers • 3. Unilateral unexplained pain in the head/neck area for more than 3 weeks, associated with otalgia but normal otoscopy. • False

  15. Answers • 4. An unexplained persistent sore or painful throat. • True • What is meant by persistent?

  16. Answers • 5. Unexplained painless red or white patches of the oral mucosa. • False • 2ww referral if the patches are painful, swollen or bleeding, otherwise refer non-urgently.

  17. Answers • 6. Unexplained tooth mobility persisting for more than 3 weeks. • True • Refer urgently to a dentist.

  18. Answers • 7. Unilateral anosmia persisting for more than 3 weeks. • False

  19. Answers • 8. Hoarseness persisting for more than 3 weeks should be referred via 2 week wait. What else should you do? • Chest x-ray

  20. Answers • 9. Unilateral tinnitus associated with deafness. • False

  21. Head and neck cancer 2 week wait guidelines: • An unexplained lump in the neck, of recent onset, or previously undiagnosed lump that has changed over a period of 3 to 6 weeks. • An unexplained persistent swelling in the parotid or submandibular gland. • An unexplained persistent sore or painful throat. • Unilateral unexplained pain in the head and neck area for more than 4 weeks, associated with otalgia but a normal otoscopy.

  22. Head and neck cancer2 week wait guidelines: • Unexplained ulceration of the oral mucosa or mass persisting for more than 3 weeks. • Unexplained red and white patches of the oral mucosa that are painful, swollen or bleeding. • Hoarseness persisting for more than 3 weeks. These patients should be referred urgently for a chest x-ray. • Refer urgently to a dentist if unexplained tooth mobility persisting for more than 3 weeks.