DO-HNS (RCSI) case studies
DO-HNS (RCSI) · Put your knowledge to work in context.
The DO-HNS (Diploma in Otolaryngology – Head and Neck Surgery) is a postgraduate diploma examination administered by the Royal College of Surgeons in Ireland (RCSI), one of Ireland's oldest medical institutions, based at 123 St Stephen's Green, Dublin 2. It is intended for doctors building a career in otolaryngology who want a formal, examined credential in the specialty, typically those in or approaching higher surgical training who need to demonstrate a structured, broad-based knowledge of ear, nose, throat, head and neck practice. The DO-HNS (RCSI) case studies are 5 cases and about 3,604 words.
1The Vertiginous Post-Operative Ear
A 47-year-old woman is seen 9 days after an uneventful left tympanoplasty with mastoidectomy for chronic suppurative otitis media. At the time of surgery the ossicular chain was intact and the middle ear was cleared of cholesteatoma; the graft was laid over the malleus handle.
683 words, about 3 min2The Unilateral Nasal Mass in a Young Man
A 24-year-old man presents with 6 months of progressive left nasal obstruction, intermittent epistaxis and a dull left-sided facial ache. He has no history of trauma, no visual symptoms and no weight loss.
732 words, about 4 min3The Neck Lump with a Normal Panendoscopy
A 58-year-old man presents with a 3 cm firm, non-tender left level II neck mass present for 8 weeks. He drinks 30 units of alcohol per week and smoked 20 cigarettes daily for 30 years.
729 words, about 4 min4The Child with Recurrent Croup
A 3-year-old boy is brought by his parents with a 9-month history of recurrent episodes of barking cough and noisy breathing, occurring roughly every 4-6 weeks. Each episode is treated by the GP with oral steroids and settles over 3-5 days.
761 words, about 4 min5The Dizzy Patient with a Normal MRI
A 62-year-old woman presents with a 4-month history of episodic vertigo lasting 20 minutes to several hours, associated with left-sided hearing loss, tinnitus and a feeling of fullness in the left ear. She has had three episodes in the last month, each leaving her unsteady for a day.
699 words, about 3 min