ENT
Tinnitus
Distinguish subjective (most) from objective; workup; sound therapy + CBT; address contributing factors.
Source: BTA; ENT UK; NICE NG155
Step 1 of ~2
info
Recognise + Workup
Subjective tinnitus most common.
Red flags requiring urgent referral:
• Pulsatile tinnitus → vascular workup.
• Unilateral / asymmetric tinnitus → MRI for vestibular schwannoma.
• Sudden hearing loss + tinnitus.
• Tinnitus + neurological symptoms.
• Severe distress / suicidal ideation.
Workup: audiometry, tympanometry; MRI internal acoustic meatus if asymmetric / pulsatile; pulsatile → MRA / CTA / contrast MRI for AVM, dural fistula, paraganglioma.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Estradiol (HRT — Hormone Replacement Therapy) · Oestrogen Replacement Therapy
- Allopurinol · Xanthine Oxidase Inhibitor — Urate-lowering Therapy
- Febuxostat · Xanthine Oxidase Inhibitor — Urate-lowering Therapy
- Nicotine · Nicotine replacement therapy (NRT)
- Eliglustat · Glucosylceramide synthase inhibitor (substrate reduction therapy)
- Allopurinol · Xanthine Oxidase Inhibitor — Urate-Lowering Therapy
Pathways
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020
Decision support only. Always apply local guidelines and clinical judgement.