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Nose/Throat - Clinical Medicine IV > Laryngitis & Laryngeal Cancer > Flashcards

Laryngitis & Laryngeal Cancer Flashcards

1
Q

What is a presenting symptoms with laryngitis?

A

hoarseness

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2
Q

What is a presenting symptoms with laryngitis?

A

hoarseness

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3
Q

What is the timeline of acute laryngitis?

A
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4
Q

What is the timeline for chronic laryngitis?

A

> 2 wks

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5
Q

What does laryngitis usually follow?

A

URI

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6
Q

What is the etiology of most laryngitis?

A

VIRAL

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7
Q

What are the bacteria responsible for some acute laryngitis?

A

m cat. h flu, s pneumo

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8
Q

What is the treatment for acute laryngitis?

A

voice rest, hydration, humidifer, ABX only if bacterial

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9
Q

How long does acute laryngitis take to heal?

A

1 wk

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10
Q

What are some red flags for risk factors of malignant cause of chronic laryngitis?

A

smoker, ETOH, severe/persistent cough, hemoptysis, wt loss

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11
Q

What is a rare cause of abscess on larynx?

A

s. aureus

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12
Q

How do you dx a fungal chronic larygnitis?

A

laryngoscopy/biopsy

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13
Q

What is the rule for laryngitis >2 wks?

A

must inspect throat

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14
Q

What can occur with chronic irritation of vocal cords?

A

polyps and nodules

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15
Q

How do you tx polyps and nodules?

A

polyps removed, nodules tx with voice habit changes

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16
Q

What is functional dysphonia?

A

talking a lot, no lesion, teachers get this –> chronic laryngitis

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17
Q

What are some neuro causes of chronic laryngitis?

A

ALS, MS, MG, parkinson’s

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18
Q

What are the three locations of laryngeal cancer?

A

supraglottis, glottis, subglottis

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19
Q

What is the most common location for laryngeal cancer?

A

glottis

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20
Q

Who usually gets laryngeal cancer?

A

men >55

21
Q

What are 85-95% of laryngeal cancers?

A

squamous cell carcinoma

22
Q

How does laryngeal cancer present?

A

hoarseness, airway obstruction, dysphagia, odynophagia, otalgia, muffled voice, stridor, neck mass

23
Q

How does laryngeal cancer present?

A

hoarseness, airway obstruction, dysphagia, odynophagia, otalgia, muffled voice, stridor, neck mass

24
Q

What is the timeline of acute laryngitis?

A
25
Q

What is the timeline for chronic laryngitis?

A

> 2 wks

26
Q

What does laryngitis usually follow?

A

URI

27
Q

What is the etiology of most laryngitis?

A

VIRAL

28
Q

What are the bacteria responsible for some acute laryngitis?

A

m cat. h flu, s pneumo

29
Q

What is the treatment for acute laryngitis?

A

voice rest, hydration, humidifer, ABX only if bacterial

30
Q

How long does acute laryngitis take to heal?

A

1 wk

31
Q

What are some red flags for risk factors of malignant cause of chronic laryngitis?

A

smoker, ETOH, severe/persistent cough, hemoptysis, wt loss

32
Q

What is a rare cause of abscess on larynx?

A

s. aureus

33
Q

How do you dx a fungal chronic larygnitis?

A

laryngoscopy/biopsy

34
Q

What is the rule for laryngitis >2 wks?

A

must inspect throat

35
Q

What can occur with chronic irritation of vocal cords?

A

polyps and nodules

36
Q

How do you tx polyps and nodules?

A

polyps removed, nodules tx with voice habit changes

37
Q

What is functional dysphonia?

A

talking a lot, no lesion, teachers get this –> chronic laryngitis

38
Q

What are some neuro causes of chronic laryngitis?

A

ALS, MS, MG, parkinson’s

39
Q

What are the three locations of laryngeal cancer?

A

supraglottis, glottis, subglottis

40
Q

What is the most common location for laryngeal cancer?

A

glottis

41
Q

Who usually gets laryngeal cancer?

A

men >55

42
Q

What are 85-95% of laryngeal cancers?

A

squamous cell carcinoma

43
Q

What is a leading cause of laryngeal cancer?

A

smoking 7x risk

44
Q

How does laryngeal cancer present?

A

hoarseness, airway obstruction, dysphagia, odynophagia, otalgia, muffled voice, stridor, neck mass

45
Q

What can hemoptysis and dyspnea be a sign of?

A

lung and laryngeal cancer

46
Q

What are the steps to dx laryngeal cancer?

A
  1. Hx and PE
  2. pallor, wasting?
  3. flexible anterior rhinoscopy and laryngoscopy
  4. order labs
  5. biopsy lesions - panendoscopy
  6. PET/CT?
47
Q

How is cancer staged?

A

size of lesion, spread to lymph, metastases

48
Q

When can you tx laryngeal cancer with endoscopic laser surgery?

A

early stage glottic cancer

Nose/Throat - Clinical Medicine IV (12 decks)

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