Laryngitis: Difference between revisions

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===Causative Agents===
===Causative Agents===
*Viral (most)  
*[[viral syndrome|Viral]] (most)  
*[[Moraxella catarrhalis]]
*[[Moraxella catarrhalis]]
*[[Hemophilus influenzae]]
*[[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 vocal strain (e.g. screaming or protracted coughing)
===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==


==Sources==
==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

Differential Diagnosis

Emergent/urgent causes

Non-emergent causes

Workup

  • Clinical diagnosis

Management

  • Self-limited

Disposition

  • Home

See Also

External Links

References