URTI: Laryngitis Flashcards
What is Laryngitis?
Inflamm of larynx bc infection / trauma
What is the timeframe for Acute vs Chronic Laryngitis?
Acute: under 3 wks
Chronic: over 3 wks
What are the causes of Acute Laryngitis? (4 things)
- Viral: Rhinovirus / Influenza virus / Corona
- Bac: Strep pneumonia / H influenzae
- Fungal: Candida (in immunosuppressed)
- Trauma (bc too much screaming / singing)
What are the causes of Chronic Laryngitis? (4 things)
- Acid reflux
- Smoke exposure
- Allergies
- RA + other AI diseases
What are the CF of Laryngitis? (7 things)
- Fever
- Cough (+ freq throat clearing)
- Hoarseness
- Stridor
- Odynophagia
- Globus pharyngeus (feeling of a lump in the throat)
- Enlarged lymph nodes
What investigations should you do for sus Laryngitis? (3 things)
- Laryngoscopy
- Biopsy + Culture abn lesions
- Blood culture
What will a Laryngoscopy show in Laryngitis?
Inflamm + Stiff Vocal folds
What type of Laryngitis does a biopsy + culture of abn lesions confirm the diagnosis of?
Fungal laryngitis
How is a diagnosis of Acute Viral Laryngitis made? (2 things)
- Low vocal pitch
- Hoarseness
= diagnosis
What are the management options for ACTUE VIRAL Laryngitis? (3 things)
- Vocal rest
- Simple analgesics
- Hydration
What are the management options for ACUTE BACTERIAL Laryngitis? (3 things)
- Abx
- Corticosteroids
- Humidification
What is the management for ACUTE FUNGAL Laryngitis?
Oral antifungals
What are the management options for ACUTE Laryngitis caused by TRAUMA? (3 things)
- Vocal rest
- Therapy
- Hygeine
What are the management options for CHRONIC Laryngitis caused by REFLUX? (2 things)
- Anti-reflux meds (e.g antacids, PPIs)
- Avoid coffee + spicy foods
What are the management options for CHRONIC INFLAMM Laryngitis? (2 things)
- Topical nasal steroids
- Antihistamines
