Approach to Sore throats Flashcards

1
Q

What is the probability diagnosis of a sore throat

A

Viral pharyngitis
Streptococcal tonsillitis
Chronic sinusitis with postnasal drip
Oropharyngeal candidiasis

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2
Q

What serious disorders are not to be missed in a sore throat

A
Cardiovascular- Angina and MI
Neoplastic- Oropharngeal or tongue ca
Blood dyscrasia
Severe infections
- acute epiglottis, quinsy, pharyngeal abscess, diphtheria, HIV/AIDS
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3
Q

What is often missed in a sore throat

A
Foreign body
EBV mononucleosis
Candida (infants and inhaled corticosteroids)
STI (gonococcol, HSV, Syphilis)
Irritants
GORD
Tonsilloliths
Cricopharngeal spasm
Kawasaki disease
Apthous ulcers
Thyroiditis
Chronic mouth breathing
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4
Q

What are rarities in sore throats

A

Scleroderma, Behcet disease, Sarcoidosis, malignant granuloma, TB

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5
Q

What is the probability diagnosis of a hoarse voice

A
Viral URTI
Irritative laryngitis
Vocal abuse
Nodules and polyps of vocal cords
Acute tonsillitis
Presbyphonia in elderly
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6
Q

What serious disorders cannot be missed in a hoarse voice

A
Cancer
Imminent airway obstruction
Severe infections
Foreign body
Motor neurone disease
Myasthenia gravis
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7
Q

What is often missed in a hoarse voice

A
Toxic fumes
Vocal abuse
Benign tumors of vocal cords
GORD
Goitre
Dystonia
Physical trauma
Fungal infections
Allergy
Leukoplakia
SLE
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