ENT Pathways
19 pathways
Work through 19 interactive ent decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.
- Epistaxis ManagementFirst-line management of anterior and posterior nosebleed including packing and cauteryENT-UK / NICE
- Acute Otitis MediaAntibiotic vs watchful waiting decision for AOM in children and adults using NICE criteriaNICE NG91 2018
- Tonsillitis and Sore ThroatFeverPAIN/Centor score-guided antibiotic decision and tonsillectomy criteria for recurrent tonsillitisNICE NG84 2018
- Benign Paroxysmal Positional VertigoDix-Hallpike diagnosis, canal identification, and Epley manoeuvre for BPPVNICE CG124 / AAO-HNS Guidelines
- Acute RhinosinusitisNICE criteria for antibiotic use in acute sinusitis and indication for ENT referral in chronic diseaseNICE NG79 2017 / EPOS 2020
- Peritonsillar Abscess (Quinsy)Recognition, IV antibiotics, and aspiration vs surgical drainage of peritonsillar abscessENT-UK / SIGN guidelines
- Hearing Loss — Assessment and ReferralConductive vs sensorineural hearing loss differentiation, red flags, and referral criteriaNICE NG98 2018 / BSA guidelines
- Sudden Sensorineural Hearing Loss≥30 dB loss across 3 contiguous frequencies within 72h — refer ENT urgently, oral steroids ± intratympanic, audiology + MRI.ENT UK 2022; AAO-HNS
- Otitis Externa (Acute / Severe / Necrotising)Distinguish acute (topical) from severe / necrotising (IV antibiotics, hospital).ENT UK; NICE CKS
- Bell's Palsy / Facial Nerve PalsyDistinguish Bell's (idiopathic LMN) from secondary; oral steroid + eye protection.ENT UK 2017; AAN
- Vertigo WorkupDistinguish peripheral (BPPV, vestibular neuritis, Ménière's) from central (stroke, MS); HINTS exam.ENT UK; NICE CKS
- Salivary Gland DisordersDifferentiate sialolithiasis, sialadenitis, tumour; conservative + surgical management.ENT UK; BAOMS
- Tracheostomy EmergenciesNTSP green/red algorithms — partial vs complete obstruction, displacement, bleed.National Tracheostomy Safety Project (NTSP) 2012
- Globus PharyngeusSensation of lump in throat without dysphagia; exclude red flags; reassurance + LPR / GORD treatment.ENT UK; BSG
- TinnitusDistinguish subjective (most) from objective; workup; sound therapy + CBT; address contributing factors.BTA; ENT UK; NICE NG155
- Stridor in AdultInspiratory / biphasic stridor in adult — urgent ENT + anaesthetic; identify cause.ENT UK; DAS
- ENT Foreign Body (Ear / Nose / Throat)Site-specific approach; button battery = emergency; specialist removal for impacted / posterior nasal.ENT UK; RCEM
- Voice Disorder / DysphoniaPersistent hoarseness >3 weeks needs nasendoscopy; differentiate functional / structural / neurological.ENT UK; BVA
- Otitis Media with Effusion (Glue Ear)NICE NG176 — watchful waiting 6–12 weeks, hearing assessment, grommets / hearing aids for persistent + bilateral.NICE NG176 (2021)