Suara Serak Flashcards
Suara Serak
Masalah di Laring
PF → laringoskop indirek
Suara Serak (5)
Laringitis/Laringotrakeobronkitis/Croup
Ca Laring
Laringomalasia
Epiglotitis/Pseudocroup
Vocal Nodul/Singer’s Node/Nodul Laring
Etio Laringitis/Laringotrakeobronkitis/Croup
Infeksi → bakteri/jamur/virus/TB
Non infeksi → GERD/merokok
Dx Laringitis/Laringotrakeobronkitis/Croup
Batuk menggonggong
Tanda inflamasi (+)
Jika akibat TB → Mouse bite app
PP Laringitis/Laringotrakeobronkitis/Croup
X-ray leher AP/Lat → steeple sign, wine bottle sign, inverted V sign
Tx Laringitis/Laringotrakeobronkitis/Croup
TB → OAT
Bakteri → AB
Rokok → stop
Dx Ca Laring
Usia tua
Alarm sign
PF Ca Laring
Massa berbenjol, mudah berdarah
Tx Ca Laring
Rujuk
Dx Laringomalasia
Kelainan kongenital → bayi/anak
Sesak napas memberat jika berbaring, membaik jika miring
PF Laringomalasia
Laringoskopi → omega shape
Tx Laringomalasia
Observasi → self limited ≤2 tahun
Etio Epiglotitis/Pseudocroup
Haemophilus influenzae tipe B
Dx Epiglotitis/Pseudocroup
3D
Drooling
Distress → stridor
Disfonia → hot potato voice
PF Epiglotitis/Pseudocroup
Cherry like app
PP Epiglotitis/Pseudocroup
Foto cervical lateral → thumb sign/vallecula sign
USG → Alphabet P sign
Tx Epiglotitis/Pseudocroup
AB
FR Vocal Nodul/Singer’s Node/Nodul Laring
Vocal abuse (banyak bicara)
PF Vocal Nodul/Singer’s Node/Nodul Laring
Massa biji kacang hijau, bilateral pada 1/3 anteromedial
Tx Vocal Nodul/Singer’s Node/Nodul Laring
Tepat → istirahat bicara
Rujuk → biopsi
