{"id":352,"date":"2017-03-26T13:10:19","date_gmt":"2017-03-26T13:10:19","guid":{"rendered":"http:\/\/papergp.com\/index.php\/ent\/tinnitus\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"tinnitus","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/ent\/tinnitus\/","title":{"rendered":"Tinnitus"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Differential diagnosis<\/h4>\n<ul>\n<li>Acoustic neuroma<\/li>\n<li>Menieres<\/li>\n<li>Medications<\/li>\n<li>Trauma<\/li>\n<li>Anaemia<\/li>\n<li>Loud noise<\/li>\n<li>Idiopathic<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; unilateral tinnitus, head\/ear injury<\/li>\n<li>Others &#8211; hearing loss, balance<\/li>\n<li>Examine &#8211; Otoscopy, CN exam<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC<\/li>\n<li>Audiometry<\/li>\n<\/ul>\n<\/li>\n<li>Explanation\n<ul>\n<li>fairly common, ways to make it more manageable<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Self help www.tinnitus.org.uk<\/li>\n<li>stop medications causing it<\/li>\n<li>background noise<\/li>\n<li>SSRI<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety-net\n<ul>\n<li>refer to ENT<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Cranial nerve examination<\/h4>\n<ul>\n<li>1 &#8211; change in sense of smell or taste<\/li>\n<li>2\/3\/4\/5 &#8211; change in vision, acuity, fields, reflexes, ophthalmoscopy, visual movements<\/li>\n<li>6 &#8211; sensation of face<\/li>\n<li>7 &#8211; face movements<\/li>\n<li>8 &#8211; whisper test<\/li>\n<li>9\/10\/12 &#8211; open mouth, stick tongue out, say ahh<\/li>\n<li>11 &#8211; Shrug shoulders, turn neck against resistance<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Acoustic neuroma Menieres Medications Trauma Anaemia Loud noise Idiopathic &nbsp; Data gathering Red flags &#8211; unilateral tinnitus, head\/ear injury Others &#8211; hearing loss, balance Examine &#8211; Otoscopy, CN exam &nbsp; Clinical management Investigations Bloods &#8211; FBC Audiometry Explanation fairly common, ways to make it more manageable Treatment Self help www.tinnitus.org.uk stop medications causing &hellip; <a href=\"https:\/\/papergp.com\/index.php\/ent\/tinnitus\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Tinnitus<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":346,"menu_order":141,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-352","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/352","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=352"}],"version-history":[{"count":8,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/352\/revisions"}],"predecessor-version":[{"id":2008,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/352\/revisions\/2008"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/346"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}