hoarseness, dysphagia, airway obstruction Flashcards
1
Q
what innervates the voice box
A
- superior laryngeal
2. recurent laryngear
2
Q
what is def. of hoaseness
A
- abnormal vocal quality
3
Q
3 general cause sof hoarseness
A
- inflammatory or irritant
- trauma, allergies, infection - neoplastic
- neuromusc. or psych
4
Q
4 things to ask on hoarseness Hx
A
- OPQRST
- pattern of voice use
- job and env - assoc. Sx
- cough, hemoptysis, burn - risk factors
5
Q
3 parts of Phx
A
- complete head and neck
- nodal and thyroid exam
- if voice is breathy, do cranial nerve exam
6
Q
what to do for acute hoarsness
A
observe
- URTI
- vocal abuse
- reflux Sx
7
Q
what to do for >2 weeks
A
- or if risk of CA
- to ENT for laryngoscopy
8
Q
2 important possible findings on scope
A
- nodules
2. papillomas
9
Q
what are vocal cord nodules
A
- benign masses along the vocal cords
- occur in yellers
- rest the voice
10
Q
what are laryngeal papllimas
A
warts on the cords
- HPV 6+11
11
Q
2 distinct types of dysphagia
A
- oropharyngeal - voluntary
2. esophageal - involuntary
12
Q
3 parts of Hx for dysphagia
A
- OPQRST
- assoc. Sx
- description of dysphagia can help
13
Q
2 general cats. of oro. dysphagias
A
- neuromusc/neurodegen
- stroke
- parkinsons
- brain stem tumor - obstructive
- tumor
- zenkers
- esopahgeal webs
14
Q
3 parts of Phx
A
- H+N exam
- CN exam
- scope
15
Q
3 investigations
A
- barium swallow
- video flouroscopy
- scope
