443 results
Algorithm and Differential diagnosis of dysphonia (hoarseness) #Diagnosis #ENT #Primarycare #Pulmonology #Dysphonia #Hoarseness #Hoarse #Voice #Differential
Dysphonia #Hoarseness #Hoarse ... #Voice #Differential
Laryngeal Cancer seen on Laryngoscopy

60 years old  heavy #smoker with new onset #hoarse voice.

#Laryngeal #Cancer
with new onset #hoarse ... voice.
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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
presented with a hoarse ... voice for a month
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Vocal Cords on POCUS (Normal)
Say "EEE"!! Vocal cords. Neck trauma with mildly hoarse voice, normal adduction
trauma with mildly hoarse ... voice, normal adduction
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What is the typical differential for hoarseness? 

Image Source: Peng  KA , Kim I,
Progressively Hoarse ... Voice.
Croup Diagnosis and Management Pearls
Common childhood illness, usually viral and self limiting. Characterised by a seal-like
subglottic narrowing), hoarse ... voice +/- fever ... Symptoms are usually worse ... resolve within 48 hours
Depostion of
glycosamineglycans
(mucin)
Filtration of albumin
Nat retention +
<
Edema
Effusion, hoarse voice, puffed-up face
Impaired cerebral development
Myxedema
Neuromuscular excitability
Sensory disturbances
Hyporeflexia
Lack of drive
Depression
Clouded
Edema Effusion, hoarse ... voice, puffed-up
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
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
unmanageable hair, Dry coarse ... oedema, Deep voice