The University of Pennsylvania Smell Inventory Test (UPSIT) is a universally accepted standardised test of olfaction. Smell disturbances
are common after head injury and this test is therefore most frequently or used to evaluate these patients, particularly for medico-legal purposes.
This test is carried out by the ENT practice nurse. It consists of four envelope-sized booklets, each containing ten ‘scratch and sniff’ odour strips. The smells are released by scratching the strip with a pencil tip which should be sniffed immediately. The subject is offered 4 possible multiple-choice responses describing what the odour may smell like. Only one is correct. You must mark one of these, even if no smell is perceived.
The responses are analysed and compared to data from sex and age-matched normal population studies. The results are graded as hyposmia when there is a mild reduction in the sense of smell or various degrees of microsmia, when there is a moderate reduction. At the other extreme anosmia indicates a completely absent sense of smell. Even if the subject has a completely absent sense of smell some correct responses will be achieved by the laws of random chance. This can help to identify subjects who may be malingering and exaggerating their smell disability
As part of our on-going commitment to providing high standards of treatment to our patients, we are proud to be registered with the Care Quality Commission under the Care Standards Act 2000.
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Dr Gerald Brookes is regularly consulted by the media for his expertise. He has been interviewed by the Daily Mail, featured on Channel 4's Embarassing Bodies, looked after The X-Factor contestants and recently, appeared on BBC Radio 2 with Chris Evans.
Media: Channel 4
Adele was experiencing dizziness and balance problems so severe that she could barely function. In desperation, after consulting her GP to no avail, she got in touch with Channel 4’s Embarrassing Bodies team. The show then contacted Dr Gerald Brookes, who was able to diagnose her rare condition as Basilar Migraine.
Catherine Eade was having dizzy spells and balance problems. When inexplicably she started suffering memory loss too, she consulted Dr Gerald Brookes at The Harley Street ENT Clinic who correctly diagnosed her problem as benign paroxysmal positional vertigo (BPPV).
The Harley Street ENT Clinic looked after The X-Factor TV show contestants for many seasons. At the end of the 2010 season, Dr Gerald Brookes was interviewed by Nicky Broyd of Boots WebMD on the perils of high pressure performing.