Freeman -- ENT Flashcards

1
Q
  • 69-year old male
  • progressive hoarseness 3 months
  • mild throat pain
  • no response to two courses of antibiotics
  • Neg. strep screen x2
  • 80 pack/year smoker
  • alcohol abuse
  • hemoptysis for 2 weeks mmild dysphagia
  • denis odynophagia
A

layrngeal cancer

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2
Q

Who gets cancer of the larynx?

A
  1. symp: >40, smoker, drinker
  2. cronic cough
  3. weight loss
  4. ear ach
  5. short of breath
  6. hoarsness
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3
Q

57 year old presents with progressive hoarseness for 1 month, no medications otherwise healthy. Nonsmoker, nondrink. Small paramedian neck mass for 2 weeks…

A

thyroid cancer or malignant thyroid lesion

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4
Q

42 year old female who has 10 pack-years, no alcohol, and 12 months variable hoarseness…

A

think inflammatory

benign inphonation

singers, teachers, lawyers

treat with speech therapy, hygene

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5
Q

stridor

A

laryngeal sound (high pitched whistle)

means bad airway!!!

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6
Q

slow onset for 24-48 hours, subglottic obstruction, inspiratory stridor, and barky cough… viral, parainfluenza, R.S.V.

A

croup

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