Throat Disease Flashcards
What is the most common cause of Reinke’s Oedema?
Longstanding smoking
What is Reinke’s oedema?
A fluid filled swelling of one or both vocal cords.
What is the appearance of Reinke’s odema?
‘Sac-like’ appearance of vocal cords
Pus on vocal cord/s
Obvious blood vessels on vocal cord.
What does the voice sound like with Reinke’s oedema?
Low and raspy
What is heard with a vocal cord abductor palsy?
Mild stridor on inspiration
Normal voice on phonation
What is heard with a vocal cord adductor palsy?
Voice sounds very breathy
Which scoring system is used to diagnose tonsillitis?
Centor criteria
What is the difference between tonsillitis and glandular fever?
Glandular fever causes greater cervical lymphadenopathy.
Glandular fever is associated with hepatosplenomegaly and jaundice.
How is glandular fever diagnosed?
FBC - lymphocystosis
LFTs - deranged
EBV serology - signs of acute infection
Monospot test
How does epiglottitis present?
Severe sore throat
Drooling saliva
Pyrexia
May have stridor
Normal looking oral cavity
Which type of bacteria typically causes epiglottitis?
Haemophilus influenza type B
