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To distinguish between globus pharyngeus and significant throat pathology.
Symptoms suggesting benign globus pharyngeus:
On physical examination does the patient have:
If the patient has any of the following refer as Head and Neck 2 week wait:
On the day emergency advice/admission should be sought if the patient presents with:
If symptoms are no better in 6 weeks or new symptoms are presented, consider a referral to ENT. When considering this, it is recommended that potential risk factors e.g., significant smoking or alcohol history and examination findings e.g., lymph nodes and the Head and Neck 2ww criteria are taken into account.
e-Referral Service Selection
This guideline has been developed by Royal Devon and Exeter Healthcare Foundation Trust based on local guidelines.
This guideline has been signed off by the Eastern Locality on behalf of NEW Devon CCG.
Publication date: April 2017
Updated: July 2021