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
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
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
4
Q
What are rarities in sore throats
A
Scleroderma, Behcet disease, Sarcoidosis, malignant granuloma, TB
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
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
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
