Investigations | Potential results | Clinical management plan |
---|---|---|
Actions from history, medication and dietary assessment | ||
Medication findings | Chemotherapy related Opioid related |
|
First line | ||
Testing of the olfactory nerve | Neurological defect | Refer to neurology team. |
Olfactory hallucinations |
| |
Blood test for zinc and vitamin B12 | Deficient | Arrange replacement. |
Second line | ||
Refer to ENT team | Eg, nasal polyps, sinus infection | |
CT/MRI head/PET | Base of skull disease | Refer to the appropriate MDT requesting an appointment within 2 weeks. |
Third line | ||
If normal investigations/no response to intervention | Reassure. |
CT, computerised tomography; ENT, ear, nose and throat; MDT, multidisciplinary team; MRI, magnetic resonance imaging; PET, positron emission tomography.