Primary care
-
Obstructive sleep apnea (OSA) is a very common and underdiagnosed condition across the world. It affects both pediatric and adult populations in unique but important ways. ⋯ Accurate and precise testing is vital to ensure accurate treatment, and specific testing methods are reviewed. Treatment options are discussed in detail for both adult and pediatric populations.
-
Otitis media and otitis externa are common ear conditions affecting individuals of all ages. Symptoms can range from mild to severe ear pain. ⋯ Proper management requires use of up-to-date guidelines and advanced treatments to address the diagnosis, prevention, and therapy challenges. This article overviews current practices and recent developments in treating these common ear disorders.
-
This study provides a comprehensive overview of sinusitis, detailing its pathophysiology, clinical manifestations, diagnostic criteria, and management strategies. Sinusitis, characterized by inflammation of the paranasal sinuses, can be acute, subacute, recurrent, or chronic, with distinct clinical presentations and treatment approaches. ⋯ Surgical interventions like functional endoscopic sinus surgery may be required for refractory cases. Emerging therapies, such as biologics and minimally invasive procedures, offer promising alternatives to traditional management approaches.
-
Vocal cord disorders present with a variety of symptoms including dysphonia, respiratory symptoms, and stridor. When evaluating symptoms, a complete history and through head, neck, and neurologic examinations are necessary. ⋯ Most masses of the vocal folds are benign and resolve with voice hygiene and speech therapy. Surgery is reserved for persistent symptomatic nodules and cancerous lesions.
-
While pharyngitis is a common primary care complaint, evidence reveals that this diagnosis is an area where antibiotic therapy is frequently misused. Appropriate diagnosis and management of pharyngitis is crucial to ensure antimicrobial stewardship and improve patient safety and outcomes. Pharyngitis etiologies include both infectious and noninfectious sources such as bacteria, viruses, fungal organisms, trauma, irritants, laryngopharyngeal reflux, and medications. Clinicians need to obtain a thorough history and careful physical examination, along with appropriate diagnostic testing when indicated, to ensure treatment plans are targeted toward the most likely pharyngitis etiology.