Write about opd cases of ent as many as you now around 30 with prescription and the reason of medicine prescribed and make its pdf for practice and education purpose

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ENT OPD 30 Cases

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What's inside the PDF

The document is organized across 3 sections with a cover page, table of contents, 30 fully detailed cases, and a quick-reference drug class appendix.

EAR - Cases 1-10

#ConditionKey Drugs & Rationale
1Acute Otitis MediaAmoxicillin (covers S. pneumoniae/H. influenzae), Paracetamol, Xylometazoline (ET decongestant)
2CSOM - TubotympanicCiprofloxacin+Dexa otic (Pseudomonas coverage, safe with TM perforation), oral Ciprofloxacin
3Acute Otitis ExternaCipro+Hydrocortisone drops (Pseudomonas + inflammation), Ibuprofen
4Otomycosis (Diabetic)Clotrimazole drops (ergosterol disruption), oral Fluconazole (systemic in immunocompromised)
5BPPVEpley Manoeuvre, Betahistine (vestibular microcirculation), Prochlorperazine PRN
6Meniere's DiseaseBetahistine TID (reduces endolymphatic hydrops), HCTZ diuretic, Lorazepam for acute attack
7Sudden SNHLPrednisolone 1 mg/kg (anti-inflammatory, started within 72 hrs), Pantoprazole (GI cover), Acyclovir
8Wax ImpactionCarbamide peroxide drops (effervescent softening), microsuction
9TinnitusBetahistine, low-dose Amitriptyline (sleep + central modulation), Vit B12, TRT referral
10Glue Ear (OME)Amoxicillin-Clavulanate, Mometasone intranasal (adenoid volume reduction, ET function)

NOSE - Cases 11-20

#ConditionKey Drugs & Rationale
11Allergic RhinitisMometasone (best single agent), Cetirizine (H1 blocker), Montelukast (anti-leukotriene)
12Acute Bacterial SinusitisAmox-Clav (beta-lactamase stable), Xylometazoline (ostial drainage), Mometasone
13CRS with Nasal PolypsOral Prednisolone (polyp shrinkage), maintenance Mometasone, FESS if refractory
14Epistaxis (anterior)Silver nitrate cautery, Naseptin cream, Tranexamic acid (antifibrinolytic)
15Deviated Nasal SeptumFluticasone (turbinate reduction), Septoplasty referral
16Rhinitis MedicamentosaOxymetazoline withdrawal + Mometasone (counters rebound congestion)
17Nasal Foreign BodyXylometazoline pre-procedure, Mother's kiss technique, Mupirocin post-removal
18Acute Viral RhinitisCetirizine, Xylometazoline (max 5 days), Zinc lozenges (reduces cold duration ~33%)
19Post-COVID AnosmiaOlfactory training (most evidence-based), Alpha-lipoic acid, intranasal Vitamin A
20Septal HaematomaURGENT I&D (prevents cartilage necrosis/saddle nose), Amox-Clav prophylaxis

THROAT / LARYNX - Cases 21-30

#ConditionKey Drugs & Rationale
21Acute Streptococcal TonsillitisBenzathine Pen G (single IM, prevents rheumatic fever), Betamethasone IM (reduces oedema)
22Peritonsillar Abscess (Quinsy)URGENT I&D, Benzylpenicillin + Metronidazole IV (strep + Fusobacterium/anaerobes)
23Chronic TonsillitisTonsillectomy (Paradise criteria met), Amoxicillin for current exacerbation
24Adenoid HypertrophyMometasone + Montelukast (lymphoid reduction), Adenoidectomy if no response
25Acute Viral PharyngitisBenzydamine gargle (topical NSAID), no antibiotics needed
26Laryngopharyngeal RefluxOmeprazole BD (LPR requires BD not OD), Domperidone (prokinetic), Alginate raft
27Vocal Cord NodulesVoice therapy (resolves majority), Omeprazole (LPR co-exists in 40%), Carbocisteine
28Acute EpiglottitisAIRWAY FIRST, Ceftriaxone IV (H. influenzae), Dexamethasone IV, Adrenaline nebuliser
29LaryngomalaciaOmeprazole suspension (GERD worsens inflammation), thickened feeds, Supraglottoplasty if severe
30Adult OSACPAP (gold standard), Montelukast (mucosal oedema), UPPP if CPAP intolerant

The PDF also includes a Quick Reference Drug Class Table covering all major ENT drug classes (penicillins, fluoroquinolones, corticosteroids, antihistamines, vestibular agents, PPIs, antifungals, mucolytics, and more) with their primary ENT indications. Purely for educational and practice use.

Create a quick prescriptions-only cheat sheet as a separate PDF

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Done! Download the cheat sheet here:

ENT OPD Prescription Cheatsheet

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What's in this cheat sheet

Format: Compact, 2-column layout - all 30 cases fit in just a few pages for quick OPD reference.
Each case card shows:
  • Case number + diagnosis (colour-coded by section)
  • Drug name in bold
  • Dose / frequency / duration on the right
Colour coding:
  • ๐Ÿ”ต Blue cards - EAR (Cases 1-10)
  • ๐ŸŸข Green cards - NOSE (Cases 11-20)
  • ๐ŸŸฃ Purple cards - THROAT / LARYNX (Cases 21-30)
Bonus last page: A "First-Line Drug Quick Reference" table listing the drug of choice + alternative/add-on for every condition at a glance - useful for exams and busy OPD rounds.

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