Using the tongue to palpate a lesion in the postnasal space: a unique case of self-diagnosis
- 1Department of ENT, Lister Hospital, Stevenage, UK
- 2Department of ENT, Royal National Throat Nose and Ear Hospital, London, UK
- Correspondence to Nora Haloob,
This 64-year-old lady presented to ear, nose and throat department with a history of left-sided nasal blockage and a lesion in her postnasal space which was palpable by her tongue. In figure 1, the patient demonstrates how she was able to self-diagnose the cause of her symptoms, and therefore prompting a general practitioner referral, by manoeuvring the tip of her tongue to fit into the postnasal space. Flexible nasal-endoscopy and CT confirmed a large antrochoanal polyp in her left nostril extending to the postnasal space. She went on to have functional endoscopic sinus surgery and polypectomy.
Clinicians should never underestimate the value of a patient's input in formulating a diagnosis.
An unusual method for the human body to self-diagnose an anatomically discreet lesion.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.