ENT

Question 1

Allergic rhinitis

Answer 1

seasonal, perrineal or occupational

sneezing
bilateral nasal obstruction
clear nasal discharge
post-nasal drip
nasal pruritus

mild-oral antihistamnines
more severe- nasal spray steroids
Can use topical steroids but care if use for a while can lead to REBOUN rhinitis (rhinitis medicamentosa

Question 2

Rhinitis medicamentosa

Answer 2

consequence of using topical steroids for alleric rhinitis too long-
improvement of sx initially (steroid relief) then relapse with worse rhinitis- medicamentaosa

Question 3

Peristant mouth ulcer

Answer 3

think cancer especially in smoker- >3w
urgent referral

other features–neck lump
hoarseness
persistent sore throat