Laryngitis: Difference between revisions
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===Causative Agents=== | ===Causative Agents=== | ||
*Viral (most) | *[[viral syndrome|Viral]] (most) | ||
*[[Moraxella catarrhalis]] | *[[Moraxella catarrhalis]] | ||
*[[ | *[[Haemophilus influenzae]] | ||
*[[Streptococcus pneumoniae]] | *[[Streptococcus pneumoniae]] | ||
==Clinical Features== | ==Clinical Features== | ||
*Hoarseness resulting from an upper respiratory tract infection | *Hoarseness resulting from an [[URI|upper respiratory tract infection]] | ||
*Often associated with rhinorrhea, cough, and mild sore throat | *Often associated with [[rhinorrhea]], [[cough]], and mild [[sore throat]] | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Acute | ===Emergent/urgent causes=== | ||
*[[Tracheal injury]], laryngeal airway trauma, [[Strangulation]] | |||
*Posterior [[sternoclavicular dislocation]] | |||
*Iatrogenic injury to recurrent laryngeal nerve: [[vagal nerve stimulator complication]], ENT, thyroid, or thoracic surgery | |||
*[[Foreign body aspiration]] | |||
*[[Caustic ingestion]], [[smoke inhalation injury]], [[blister chemical agents]] | |||
*[[Angioedema]] | |||
*[[Hypothyroidism]]/myxedema of vocal cords | |||
*[[Neck mass]], squamous cell carcinoma, mediastinal adenopathy | |||
*[[Aortic dissection]], [[nontraumatic thoracic aortic dissection]] | |||
*[[Epiglottitis]], [[diphtheria]] | |||
*[[Ludwig's angina]] | |||
*[[Leishmaniasis]] | |||
*[[Botulism]] | |||
*[[Myasthenia gravis]] | |||
*[[Acute flaccid myelitis]] | |||
*[[Scorpion envenomation]], [[Elapidae]] bites | |||
*[[Stroke]] (lateral medullary infarction) | |||
*[[Parkinson's disease]] | |||
===Non-emergent causes=== | |||
*[[Laryngitis]] | |||
*[[GERD]] | |||
*Post [[intubation]], [[laryngeal mask airway]], or [[supraglottic airway]] | |||
*Voice overuse/misuse | |||
*Vocal cord nodules | |||
*Voice may sound abnormal to you, but be totally normal for that patient! | |||
==Workup== | ==Workup== | ||
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==Disposition== | ==Disposition== | ||
*Home | |||
==See Also== | ==See Also== | ||
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==External Links== | ==External Links== | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:ENT]] | |||
[[Category:ID]] |
Revision as of 20:29, 22 October 2019
Background
- a common and self-limited inflammatory condition lasting less than three weeks,
- usually associated with either an upper respiratory tract infection or acute vocal strain
Causative Agents
Clinical Features
- Hoarseness resulting from an upper respiratory tract infection
- Often associated with rhinorrhea, cough, and mild sore throat
Differential Diagnosis
Emergent/urgent causes
- Tracheal injury, laryngeal airway trauma, Strangulation
- Posterior sternoclavicular dislocation
- Iatrogenic injury to recurrent laryngeal nerve: vagal nerve stimulator complication, ENT, thyroid, or thoracic surgery
- Foreign body aspiration
- Caustic ingestion, smoke inhalation injury, blister chemical agents
- Angioedema
- Hypothyroidism/myxedema of vocal cords
- Neck mass, squamous cell carcinoma, mediastinal adenopathy
- Aortic dissection, nontraumatic thoracic aortic dissection
- Epiglottitis, diphtheria
- Ludwig's angina
- Leishmaniasis
- Botulism
- Myasthenia gravis
- Acute flaccid myelitis
- Scorpion envenomation, Elapidae bites
- Stroke (lateral medullary infarction)
- Parkinson's disease
Non-emergent causes
- Laryngitis
- GERD
- Post intubation, laryngeal mask airway, or supraglottic airway
- Voice overuse/misuse
- Vocal cord nodules
- Voice may sound abnormal to you, but be totally normal for that patient!
Workup
- Clinical diagnosis
Management
- Self-limited
Disposition
- Home