ENT Practicals Sujatha S
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1ENT Practicals MADE EASY®2
3ENT Practicals MADE EASY®
Sujatha S MBBS DLO DNB MNAMS PhD Associate Professor of ENT Government Medical College Thiruvananthapuram, Kerala, India Foreword Viswanathan N
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ENT Practicals Made Easy ®
First Edition: 2016
9789352501137
Printed at
5Dedicated to
All my teachers, who guided me to learn; and to all my students, who inspired me to teach
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7Foreword
The era is witnessing a profuse influx of information and technology. As these spread to each and every part of life, the medical education also cannot stand apart. The beauty and efficiency of a systematic patient approach may get extinct in the near future with the present overdependence on technology. A well-taken medical history and systematic examination of the patient, often, leaves little room for mistakes. The importance of history taking and a proper examination of the patient should never be diluted by diffusion of technology.
It is in this context the book ENT Practicals Made Easy ® by Sujatha S is so important and timely. Her long service as faculty in medical colleges as undergraduate and postgraduate teacher has helped her to bring out this book in an outstanding manner. She guides in a systematic way with an umbrella of logical mind. It is a pleasant and palatable approach which will definitely be an user-friendly one for the medical students.
I have had the pleasure and honor of associating with Sujatha for a long time. She is a well-known academician in the field of otorhinolaryngology. Her own techniques of endoscopic surgeries and facial cosmetic surgeries are remarkable. She is one among the best clinicians I have worked with. She is a very good teacher and thirsty for knowledge and that is testified by this beautiful book. I am proud that I could associate with a person like Sujatha who believes and practices the fundamental principles of clinical examination.
Viswanathan N
Professor of ENT and former Superintendent
Government Medical College
Thiruvananthapuram, Kerala, India
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9Preface
The surgical subspecialty, ENT, includes a vast array of topics, lessons and ideas; but only a small portion is required to be studied by the undergraduate medical students. ENT is perhaps the simplest and one of the most interesting specialties at that level. Practical examinations, especially objective structured clinical examination (OSCE) and viva need very precise and accurate answers to the questions. Even though many of the medical students are thorough with the subject matter, the majority of them are not able to answer the questions of the teachers in a satisfying manner. I too have faced this tricky situation during my student career, and I found that the dilemma continues even with the present generation of students.
This book is the result of my endless endeavors to find a solution to this problem. It contains the way to discern patient history, how to examine a patient and also presents a variety of questions commonly asked in practical examinations, together with answers in the section of X-ray, Instrument and OSCE. I have tried to include several pictures and to make content simple, so that even a mediocre student can understand the subject matter. A student who does a thorough reading of this book can reasonably expect a first class in the practical examinations and go on to become a seasoned professional in the future.
Sujatha S
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11Acknowledgments
I am indebted to …
My father, late Panayur C Sankarankutty, who was a constant source of my inspiration and support to all my endeavors, and who wished this dream of mine to come true.
My teacher, Professor S Sasikumaran Nair, who taught me what ENT means.
Professor N Viswanathan, Professor K Sasikumar and Professor J Mohan, who have always helped, trusted and supported me.
Professor L Vijayalakshmi, Vice Principal and Convenor, CHEP Medical College, Thiruvananthapuram, Kerala, India, for guiding me to walk in the ideal path of learning and teaching.
I am thankful to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Mr Tarun Duneja (Director–Publishing) and Mr KK Raman (Production Manager) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India.
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15Introduction
Dear students, ENT is a specialty that you can never avoid in your clinical postings and also in practicing years. Sure that you all will become consultants in near future. Most of the cases in pediatrics, medicine, gynecology, surgery or in general practice includes those of ear, nose or throat. I told this only to emphasize the need of learning ENT not only to pass examination, but its importance in your entire career.
As beginners in learning the art of medicine, the importance of good history taking is beyond doubt. As you have completed your medicine and general surgery postings, you may be knowing the basic principles of this. But ear, nose and throat are different from all other parts of the body. They are hidden areas and you cannot examine them as you examine abdomen or limbs. Small size and anatomical inaccessibility make it difficult for the teacher to demonstrate to all students at a time. That is why, we need good illumination and special instruments for examining ENT.