26 results
Acute Voice Hoarseness - Differential Diagnosis Algorithm
Constant - Infectious:
 • Viral Laryngitis
 • Fungal Laryngitis (Monilia)
Acute Voice Hoarseness ... Inflammatory • Voice ... Dysphonia #Acute #Voice
Chronic Voice Hoarseness - Differential Diagnosis Algorithm
Infectious:
 • Bacterial Infection
 • Fungal Infection (Monilia)
Inflammatory:
 • Chronic
Chronic Voice Hoarseness ... Tremor #Chronic #Voice
Algorithm and Differential diagnosis of dysphonia (hoarseness) #Diagnosis #ENT #Primarycare #Pulmonology #Dysphonia #Hoarseness #Hoarse #Voice #Differential
Hoarseness #Hoarse #Voice
Richmond Agitation Sedation Scale
+4 - Combative, Violent, Immediate Danger to Staff
+3 - Very Agitated - Pulls
has Sustained to Voice ... Briefly Awakens to Voice ... Eye Opening to Voice ... No Response to Voice ... No Response to Voice
Epiglottitis - Swollen inflamed epiglottis 
Clinical (Rapid onset) 
 • Fever 
 • Sore throat
Drooling • Muffled voice
RASS (Richmond Agitation Sedation Scale)
4 - Combative - Overtly combative, violent, immediate danger to staff
3 -
Sustained awakening to voice ... eye contact to voice ... eye opening to voice ... No response to voice ... No response to voice
Tracheoesophageal Voice Prosthesis #Anatomy #EM #ENT #RespiratoryTherapy #Tracheoesophageal #VoiceProsthesis #TracheoesophagealValve #ALiEM
Tracheoesophageal Voice
Basic algorithm for diagnosis and management of hoarseness

Image Source: Peng  KA , Kim I,
Progressively Hoarse Voice
Ortner's (Cardiovocal) Syndrome - Left Vocal Cord Paralysis on Laryngoscopy

A 42 yo presented with a hoarse
with a hoarse voice
Passy Muir Valve (PMV) "Speaking Valve" Anatomy

When placed on the hub of the tracheostomy tube or
nose enabling voice