Project Hospital

Project Hospital

Ear, Nose and Throat Department
James  [developer] Feb 15, 2020 @ 3:02am
Suggestions and Feedback
Want to say something about my mod? Want some new diagnoses? Come here and comment here! Feel free to give me your idea to make the department more interesting and suitable for players!
Last edited by James; Feb 15, 2020 @ 3:06am
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Showing 1-15 of 17 comments
| Mac Hareng | Mar 7, 2020 @ 6:11am 
Hello, really good work !
I'm working on the endocrinology version of MoreDG and I was wondering if you were planning to do these pathologies :
- Toxic multinodular goiter
- Toxic adenoma (Thyroid)
- Hyperparathyroidism
- Hypoparathyroidism
They are in my roadmap and I don't want to duplicate them if they are also part of yours next content.
Last edited by | Mac Hareng |; Mar 7, 2020 @ 6:25am
James  [developer] Mar 7, 2020 @ 3:18pm 
Nope, there won't be these diagnosis in the game.
Lucas182 May 3, 2020 @ 12:22pm 
Hi, I would really appreciate it if you uploaded your mod someplace else other than steam so gog users could have access to it :)
James  [developer] May 4, 2020 @ 4:31pm 
@Lucas182 I will definitely make a file for GOG users to put in their games. I’m still currently making a discord and you can join later
James  [developer] May 6, 2020 @ 10:30pm 
@Lucas182 I have put a discord link on the description page of the mod you can join if you would like
Shredder23 Jun 15, 2020 @ 1:20pm 
Hi! Thanks so much for this mod, however, I was away for a while, and upon returning to project hospital, I decided to refresh my knowledge using the tutorials. Everything was well until I had to select a different department. I suggest moving this to the end, of the department list because the ENT department messes up the list, and with the tutorials, they disable some areas so you know what department to go to. If you don't understand, try doing the third and last tutorial with the ENT department on. However, I enjoy your work very much. Thanks!
James  [developer] Jun 15, 2020 @ 4:24pm 
@rocketboy117 I know the issue, I'll fix it in the next patch. Thanks for reporting the issue :)
Last edited by James; Jun 15, 2020 @ 4:29pm
| Mac Hareng | Nov 6, 2020 @ 8:09am 
As I told you some DIAs suggestions:

Epistaxis:
- Rhinosinusitis
- Foreign Body (Nose)
- Septal perforation
- surgical complication
- Nasal fracture
- Fracture of the middle third of the face = frontal sinuses
- Nasopharyngeal fibroma
- Septic angioma
- Rhinosinus cancer
- Cancer cavum

Dysphonia:
- Polyps
- Reinke edema
- vocal cord nodules
- granulomas of the posterior third of the vocal cords
- juvenile laryngeal papillomatosis
- laryngeal cancer
- carcer piriformis sinuses
- paraglotic space blockage
- intra-cordial cyst
- vocal overuse dysphonia
- psychic dysphonia
- spamodic dysphonia
- myasthenic dysphonia

Conductive hearing loss:
- otosclerosis
- sequelae of otitis
- ear aplasia
- cerumen cap
- fracture of the rock: (Perforation of the eardrum, Fracture of the eardrum, ossicular dislocation)
- Foreign body in the ear
- barotrauma
- tumor of the tympanojugular glomus
- carcinoma of the external auditory canal
- middle ear carcinoma

Sensory deafness:
- sudden unilateral deafness
- fracture of the rock (labyrinthine)
- labyrinthine concussion)
- labyrinthitis (otogenic, hematogenic)
- acoustic neuroma (= tumor of the ponto-cerebellar angle)
- progressive disease of the young
- presbycusis
- chronic sound trauma
- acute sound trauma
- toxic deafness

Note: I didn't check if they were already in game.
I used a google translation copy paste, some pathologies can be called otherwise in English.
James  [developer] Nov 6, 2020 @ 4:17pm 
Ah, Thanks! @MacHareng I actually already have some like Foreign Object in Nose and Labyrinthitis. Great Suggestions for Diagnoses!
| Mac Hareng | Nov 11, 2020 @ 2:54am 
Some new DIAs suggestions:

Pathologies of the main salivary glands:
Note: If not specified, each DIA can exist in three forms (parotid, submandibular, sublingual)
  • Sialitis (sialadenitis / sialadochitis)
- viral parotitis
- syphilic parotitis
- temporomandibular arthritis (bacterial)
- mandibular osteitis (bacterial)
- cellulitis of the face (bacterial)
- glandular sclerosis
- Tuberculosis
- Chronic parotitis
- Megachannels (example: mega-dolicho-stenon)
- Stenosis of the excretory ducts
- Lithiasis
- Salivary colic
- Salivary hernia
- "Grenouillette" (IDK how it's called in English)
  • Sialosis
- Sarcoidosis
- Sialadenosis
- cystic lymphoid hyperplasia (parotid)
- Kimura
- Essential parotidomegaly
  • Tumor - Benin
- Pleomorphic adenoma (parotid)
- Papillary cystadenolymphoma = Warthin tumor (parotid)
- Monomorphic adenoma
- Oxyphilic adenoma = oncocytoma
- Tubular or trabecular adenoma
- Clear cell adenoma
- Basal cell adenoma
- Papilloma
  • Tumor - Malin
- mucoepidermoid carcinoma
- acinar cell carcinoma
- adenocarcinoma
- adenoid cystic carcinoma (parotid)
- Metastasis of carcinoma of the scalp, carcinoma of the frontotemporal region or kidney
- Lymphoma & Sarcoma

  • Sinus:
Note: can exist in the maxillary, frontal, sphenoidal or ethmoidal forms
- Painful sinusitis
- Chronic sinusitis

  • Temporomandibular subluxation
  • Long penid process syndrome
  • Peripheral Facial Paralysis:
- Ear shingles
- Otogenic: acute otitis media, chronic otitis media (cholesteatomatous, tuberculosis of the ear)
- Fracture of the Rock
- Wound of the parotid region
- Melkerson Rosenthal syndrome

  • Vertigo:
- Benign Paroxysmal Positional Vertigo
- Vestibular neuritis
- Vestibular migraine
- Phobic postural syndrome
- Vestibular paroxysmia
- Bilateral vestibular deficit
- Imbalance in the elderly
- Labyrinthine fistula
- Dehiscence of the superior semicircular canal
- Vestibular Schwannoma

Note: I didn't check if they were already in game.
I used a google translation copy paste, some pathologies can be called otherwise in English.
Last edited by | Mac Hareng |; Nov 11, 2020 @ 2:56am
James  [developer] Nov 11, 2020 @ 3:42am 
Thank you so much Mac Hareng!
| Mac Hareng | Dec 5, 2020 @ 1:22am 
Some functional somatic syndromes suggestions here:
- Algodysfunctional syndrome of the manducator apparatus
- Glossodynia
- Chronic non-allergic rhinitis

Do you also want maxillofacial surgery diagnoses? There is often a single department which brings together ENT and MFS.
James  [developer] Dec 5, 2020 @ 3:04am 
Yep! This department is a mesh between, Head and Neck Surgery, Otorhinolaryngology and maxillofacial surgery
| Mac Hareng | Dec 12, 2020 @ 3:09am 
More DIA (for MFS):

Maxillofacial trauma:
- Contusion of the face (lip, nose, eyelid, cheek)
- Soft tissue wounds
* mucous membrane
+ mouth (gum)
+ palatal fibromucosa
+ language
+ soft palate
+ anterior floor of the mouth
+ palace
* periorificial (lip, eyelid, nostril, ear)
* skin of the face
+ superficial or deep
+ frank or contuse
- bite
- Dermabrasion
- Foreign body
- Dental contusion
- Tooth fracture
* Crown fracture with or without pulp exposure
* Root fracture
* Alveolodental dislocation
+ incomplete dislocation or subluxation
+ complete dislocation
* Alveolodental fracture
* Dental trauma of lacteal teeth (pediatrics)
- Mandible fracture
* Fracture of the toothed portions and the angular region
+ displaced fracture
+ non-displaced fracture
* Fracture of the condylar region
+ bilateral fracture
+ bilateral fracture associated with a fracture of the mandibular body (trifocal fracture of the mandible)
+ fracture of the condylar region associated with a fracture of the tympanic bone
+ fracture with intracranial penetration of the condylar fragment
+ fracture occurring in an edentulous patient
+ fracture associated with neurological disorders (prolonged coma)
* Mandibular ramus fracture (excluding fracture of the condylar region)
- Fracture of the middle level of the face
* Zygomatomaxillary fracture
* Isolated fracture of the orbit floor
+ Blow-out type fracture
+ Trapid fracture
* Nasal bone fractures
* Complex centrofacial fractures
+ fracture of the nasoethmoido-maxillo-fronto-orbital complex
* Le Fort occlusofacial fractures
+ Le Fort I fracture
+ Le Fort II fracture
+ Le Fort III fracture
* Fractures of the craniofacial confines

Pathology of the salivary glands:
- Infectious pathology
* Viral infections
+ Mumps sialadenitis (mumps virus)
+ Cystic lymphoid hyperplasia (HIV)
+ Sialadenitis coxsackies, influenza
* Bacterial infections
+ Salivary infections of lithiasic origin
+ Salivary pyogenic infections
* Recurrent parotitis
- Lithiasis pathology
* Submandibu / area lithiasis
* Parotid lithiasis
* Sublingual lithiasis
* Lithiasis of the accessory salivary glands
- Tumor pathology
* Tumors of the parotid gland
+ Epithelial tumors
a.Adenomas
al. Pleomorphic adenoma (mixed tumor) (+++)
(squamous cell carcinoma, melanoma)
a2.Single adenomas:
- cystadenolymphoma (+)
- oxyphilic adenoma (oncocytoma)
- others
b. Mucoepidermoid tumor
vs. Acinar cell tumor
d. Carcinomas
dl. Adenoid cystic carcinoma (cylindroma) (++)
d2. Adenocarcinoma; possibly by transformation
a pleomorphic adenoma
d3. Squamous cell carcinoma, undifferentiated, in a
pleomorphic adenoma
+ Non-epithelial tumors (rare)
at. Benign: hemangioma, schwannoma
b. Malignant: lymphoma, sarcoma, intraparotid metastasis
* Tumors of the submandibular gland
* Tumors of the sublingual gland
* Tumors of the accessory salivary glands
- Immunological pathology
* Nutritional sialadenosis
* Systemic sialadenosis
+ Gougerot-Sjogren syndrome
+ IgG4 fibrosclerosing disease
+ Sarcoidosis
+ Parotid swelling
+ HIV

Angiomas of the face and oral cavity:
- Hemangioma
* eyelid
* nose ("Cyrano")
* labial (lower, upper)
* scalp
* ear pavilion
- Kasabach-Meritt syndrome
* RICH (rapid involuting congenital hemangioma)
* NICH (non involuting congenital hemangioma)
- Sturge-Weber-Krabbe syndrome
- Vascular malformations
* Inactive vascular malformations, at low flow
+ Vascular malformations of the capillary type
+ Lymphatic malformations
++ cystic hygroma
++ Diffuse infiltrating lymphatic malformation (microcystic)
* Active, high flow vascular malformations
+ arteriovenous fistula
+ arteriovenous malformation
+ Intramandibular arteriovenous malformations
* Complex and combined vascular malformations
+ Complex systematized vascular malformations
++ Sturge-Weber-Krabbe syndrome
++ Bonnet-Dechaume-Blanc syndrome
+ Disseminated vascular malformations
++ Rendu-Osler disease
++ blue-rubber-bleb nevus or Bean syndrome

Acute soft tissue infections of dental origin
- Dental lesions
* Decay
+ Enamel decay
+ Dentin decay (dentinitis)
* Pulpopathies
+ Acute pulpitis
+ Chronic pulpitis
* Periodontitis
+ Acute periodontitis or dental monoarthritis
+ Chronic periodontitis or dental monoarthritis
* Dental granulomas
* Dental apical cysts
- Gingival lesions, or periodontal disease
* Tartaric gingivitis
* Ulcerative necrotic gingivitis
* Odontiatic gingivitis
* Gingival hypertrophies
+ idiopathic (congenital, linked to dental development);
+ hormonal (puberty, contraception pill, pregnancy);
+ deficient (vitamin C deficiency or scurvy);
+ iatrogenic by antiepileptic, antihypertensive or immunosuppressive treatment
+ blood disease (leukemia)
- Complications
* Maxillary sinusitis of dental origin
+ Sinus teeth
* Facial cellulitis
+ Acute cellulitis
++ First stage: serous cellulitis (not collected)
++ Second stage: suppurative cellulitis or collected cellulitis
++ Third stage: gangrenous cellulitis or diffused cellulitis
+ Subacute and chronic cellulitis
* Facial and craniofacial thrombophlebitis
* General complications
+ Infectious endocarditis
+ Long-term unexplained prolonged fever
+ Rheumatological manifestations: arthritis, particularly on prosthesis.
+ Ophthalmic manifestations uveitis, ptosis, or even sudden amaurosis should seek a dental focus.
+ Renal manifestations: proliferative glomeruionephritis.
+ Pulmonary manifestations: acute or chronic pulmonary suppurations may follow oral infections, either by bacteremia or by inhalation of septic products
+ Digestive manifestations: buccodent areas can be the cause of digestive disorders such as gastritis, enteritis, colitis.
+ Septic neurological manifestations: among the nervous disorders of dental origin, it is necessary to mention the pains of the face the abscesses of the brain of dental origin are not exceptional and are explained by the same etiopathogenic process as the thrombophlebitis or by embolisms.

Non-tumor pathology of the oral mucosa:
- Ulceration or erosion of oral mucous membranes
* Single ulceration
+ Common isolated canker sore
+ Benign idiopathic aphtosis
+ Giant canker sore
+ Canker sore digging
+ Traumatic ulceration
+ Squamous cell carcinoma
+ Non-Hodgkin's malignant lymphoma
+ Primary syphilis
+ Tuberculosis
+ Benign inoculated lymphoréticulosis (or cat scratch disease)
+ Histoplasmosis
+ Cytomegalovirus
* Multiple ulcerations
+ Common multiple aphthosis
+ Miliary aphthosis
+ Giant aphthosis
+ Oral lichen
+ Herpes
+ chickenpox and shingles
+ herpangina
+ hand-foot-mouth syndrome
+ Erythema multiforme
+ Stevens-Johnson syndrome
+ Autoimmune bullous diseases
+ stomatitis with pseudomembranes
+ ulcerative necrotic gingivitis with banal germs
- Skin infections caused by Candida albicans
* Acute form: thrush
+ Pure erythematous form (early phase).
+ Pseudomembranous form
+ Localized forms: superficial ouranitis (palate), central depapillated glossitis, localized form on the inside of a cheek.
+ Forms associated with visceral or cutaneous candidiasis
+ Concomitant involvement of the pharynx and larynx
* Chronic forms in foci
+ Perlèche
+ Median lozenge glossitis
+ Black hairy tongue
+ Diffuse chronic form: chronic thrush

Composite tissue allotransplantation: face transplant
James  [developer] Dec 12, 2020 @ 3:43am 
Oh my goodness! Thank you so much for taking your time to write a ton of diagnoses! I really really appreciate it! :steamhappy:
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