InnovAiT DOI: 10.1177/1755738018767535 Answer C. Sign-post the patient to NHS 111 to register responsibility of the GP’. GPs are not trained, expected or often with a dental practice and book an emergency indemniﬁed to deal with dental problems. If the patient is not regis- appointment tered with a dentist or is unable to get an appointment with their dentist, they should contact the local NHS 111 (England), NHS 24 The treatment of a dental abscess is usually drainage rather than (Scotland), NHS direct or local dental helplines (Wales). In an emer- antibiotic treatment. It is therefore not usually recommended for gency situation, clinicians can contact their local maxillofacial team GPs or any clinician who is not dentally trained and qualiﬁed to for advice. In life-threatening situations, contacting or referring to the give patients antibiotics. Many GPs feel under pressure to prescribe local emergency department may be more appropriate. analgesia or antibiotics for patients with dental problems if they are not registered with a dentist or report they are unable to get an InnovAiT article: Managing dental emergencies in general practice. appointment. Even in such cases, the British Medical Association DOI: 10.1177/1755738018766963. (BMA) advises that ‘treatment of dental problems is not the DOI: 10.1177/1755738018767519 AKT answer relating to oral ulcer Answer D. Refer urgently to the ear, nose and throat or red patches before becoming exophytic, verrucous or ulcerative (ENT) surgeons lesions. Any lesion or non-healing ulcer that persists for more than 3 weeks InnovAiT article: Head and neck cancer. DOI: 10.1177/ warrants an urgent referral on the suspected cancer pathway for diagnostic biopsy, to the oral and maxillofacial or ear nose and throat (ENT) surgeon. Most oral cancers present initially with white DOI: 10.1177/1755738018767521 AKT answer relating to hoarse voice . Bisphosphonates Answer A. Alendronic acid . Anticoagulants There are many different causes for dysphonia. It is important to consider the following drugs as a potential cause of laryngeal irrita- . Antipsychotics tion and dysphonia: . Inhaled corticosteroids InnovAiT article: Hoarseness. DOI: 10.1177/1755738018766202. . Antihistamines, decongestants, anticholinergics . Angiotensin converting enzyme (ACE) inhibitors
InnovAiT: Education and inspiration for general practice – SAGE
Published: Jun 1, 2018
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