Thursday, April 14, 2016

Step 2 CS: Hoarseness

This is a very easy case because there are limited number of  things that can cause hoarseness of voice.
Infection causing laryngitis - Ask for GERD, sore throat

Vocal polyp or nodule - Ask for voice overuse

Laryngeal cancer - Ask for weight, appetite changes, smoking and alcohol

Hypothyroidism - Ask for cold intolerance, constipation, skin changes

MV disease - Ask for palpitations, fatigue

Ask for any lumps of bumps since cancer can impinge on one of the nerves and can cause hoarseness.

4 comments:

  1. Can't lung cancer also cause impinging on the recurrent laryngeal nerve that can cause hoarseness?

    ReplyDelete
  2. Yup, so can a thyroid mass (especially a feature of malignant ones)
    Also, my ORL lecturers tell us to say only 'hoarseness', not 'hoarseness of voice', since only the voice can be hoarse, nothing else could be

    ReplyDelete

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