Tag: ear

ENT Cancer Referral

Scott McLaughlin

Consider referral to ENT when the patient presents with any of the following signs or symptoms:

  • Hoarseness persisting for more than 3 weeks
  • High dysphagia persisting for more than 3 weeks
  • Unresolved neck masses for more than 3 weeks
    • (** Also refer to Monklands or Hairmyres Hospital for ultrasound and or FNA **)
  • Persistent unilateral unexplained throat pain
  • Unilateral nasal obstruction particularly when associated with purlent discharge
  • Unexplained ear pain particularly with any of the above

Stridor should be referred as an emergency

Consider referral to Maxillofacial when the patient presents with any of the following signs or symptoms:

  • Ulceration of oral mucosa persisting for more than 3 weeks
  • Oral swellings persisting for more than 3 weeks
  • All red or red and white patches of the oral mucosa
  • Unexplained tooth mobility not associated with peridontal disease

Consider referral to Ophthalmology when the patient presents with any of the following signs or symptoms

  • Orbital masses

Consider referral to General Medicine when the patient presents with any of the following signs or symptoms

  • Cranial neuropathies

CCI Guidelines

The CCI Referral Guidelines can be found at ENT Referral Pathways.

Audiology Paediatric

Scott McLaughlin

General Information

Patients referred to this service will be seen by Specialist Paediatric Audiologists but may not be seen by medical staff within the Audiology Department. The Clinical responsibility for patient?s treatment will remain with the General Practitioner, unless there is onward referral to an Associate Specialist in Audiology or to an ENT Consultant for further management.

Referral Guidelines

Patients must meet the following criteria before the Audiology department will accept the referral.

Please see vetting guidelines.

The following patients are suitable for direct referral to ENT:

 

Child referred with concern re hearing: From 8 months to 4 years

Paediatric ENT Clinics

Any child with referral mentioning significant snoring, nasal obstruction, obstructive sleep apnoea, frequent ear infections or tonsillitis should be redirected for ENT appointment.

 

Child referred with concern re hearing: From 4 to 6 years

Paediatric ENT Clinics

Referral directed to ENT if history of significant snoring, nasal obstruction, obstructive sleep apnoea, catarrhal, frequent ear infections or tonsillitis.

Referral where there is history of recent ENT surgery within past year with recurrence of symptoms or related complaints.

 

Children referred re hearing concern: From 6 to 18 years

ENT Clinics

Those whose referral indicates significant history relating to OME, tonsillitis, snoring or obstructive sleep apnoea as previously.

Referral where there is history of recent ENT surgery within past year with recurrence of symptoms or related complaints.

Audiology Hearing Aid Referral

Scott McLaughlin

General Information

Patients referred to this service will not be seen by medical staff within the Audiology Department. The Clinical responsibility for patients treatment will remain with the General Practitioner.

The Audiology Department can offer travel to Hairmyres Hospital, Stonehouse Hospital, MDGH or Wishaw General Hospital if required –please indicate that transport is required

Housebound/Nursing home patients who are unfit to travel can be seen on a domiciliary visit. (Use separate template)

Referral Guidelines

Patients must meet the following criteria before the Audiology department will accept the referral:

  • Patient must be over 50 (under 50 if learning disabilities)
  • Hearing loss is not of short duration
  • Hearing loss is not of sudden onset
  • Hearing loss is not asymmetric or unilateral There is no rotary vertigo
  • There is no severe tinnitus
  • There is no external or middle ear infection There are no perforations
  • There is no recent discharge
  • Both ears are free from wax at time of referral

Please note: Wax Removal may be arranged by the department if necessary

Hearing Aid Repairs

Please advise patients that there is a walk in service available for hearing aid repairs and battery replacements, as follows:

Audiology Services,
Douglas St Clinic,
Hamilton, ML3 0BP.
Tel: 01698 368700
Tuesday – Friday, 1.30 – 4 pm
Central Advice Line
01698-456556

 

Hairmyres Hospital,
Eaglesham Road,
East Kilbride,
Tel: 01355 585000.
Mon, Tues, Wed 9.30 – 11.30
Tues 2.00pm – 4pm

 

Stonehouse Hospital,
Stonehouse,
Tel: 01698 794015
Tuesday 1:30 – 4pm
Thurs only 9.30am – 11.30am

 

Audiology Clinic,
Wishaw General,
Wishaw.
Tel: 01698 361100
Mon, Tues, Wed, Frid,
9.30am – 11 30am

 

Audiology Clinic OPD,
Monklands Hospital,
Airdrie, ML6 0JS
Tel: 01236-712028
Mon – Thursday
1.30-4pm

 

Lanark Health Centre,
Lanark.
Tel: 0155661534
2nd and 4th Friday
9.30am – 11.30am

 

Central Health Centre
North Carbrain Road,
Cumbernauld, G67 1BJ
Tel: 01236 731771
Mon only 9.30am – 11.30am

Audiology Domiciliary

Scott McLaughlin

General Information

Patients referred to this service will not be seen by medical staff within the Audiology Department. The Clinical responsibility for the patients treatment will remain with the General Practitioner

NB: The Audiology Department can arrange travel to Hairmyres Hospital, Stonehouse Hospital, MDGH and Wishaw General Hospital if this would be a suitable alternative.

Referral Guidelines

Patients must meet the following criteria before the Audiology department will accept the referral:

  • Patient must be over 50 (under 50 if learning disabilities)
  • Hearing loss is not of short duration
  • Hearing loss is not of sudden onset
  • Hearing loss is not asymmetric or unilateral
  • There is no rotary vertigo
  • There is no severe tinnitus
  • There is no external or middle ear infection
  • There are no perforations
  • There is no recent discharge
  • Both ears are free from wax at time of referral

 

OR

If the patient is an existing hearing aid user that requires to have a new hearing assessment.

NB: Patients that require a hearing aid repair may contact directly to arrange a Domiciliary visit.

Please note: Wax Removal may be arranged by the department if necessary