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53 y.o. female with hoarseness over 3 weeks (infectious and inflammatory…
53 y.o. female with hoarseness over 3 weeks
infectious and inflammatory
Short Term Vocal Abuse
URTI
More of an accute, highly suggestive if fever present
Laryngopharyngeal Reflux
Exposure of the larynx area by gastric juices; a consequence of GERD. Will commonly see heartburn and postprandial discomfort as symptoms
Chronic Laryngitis
Caused by irritants, such as industrial toxin exposure and smoking
Upper Respiratory Allergies
Often seen with the atopy triad, which includes rhinitis and eczema; sometimes asthma. different from URTI as often no fever
Neuromuscular
Psychomotor disorders
Includes Parkinsons, or as a consequence of multiple sclerosis/ myasthenia gravis
Degenerative Neurological
Dementia of various types. Typically whispering voice retained
Recurrent Laryngeal Nerve Injury
common in patients with history of head and neck surgeries
Systemic Disease
Sarcoidosis
Hilar lymphadenopathy
Amyloidosis
May have skin deposition
Rheumatoid Arthritis
Morning stiffness of joints; may affect the joints of the larynx as well
Neoplasm
SCC
Associated with cough, haemoptysis, dysphagia, pain
Laryngeal Leukoplakia
precursor lesion to SCC, a/w smoking, alcohol and GERD
vocal fold nodules
singers or screamer's nodes. seen with use of high pitch, related to trauma or dehydration
Vocal Fold Cyst
gradual onset of breathiness with restricted vocal range and low pitch