436 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.
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
Vocal Cords on POCUS (Normal)
Say "EEE"!! Vocal cords. Neck trauma with mildly hoarse voice, normal adduction
trauma with mildly hoarse ... voice, normal adduction
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