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.
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.
Can't lung cancer also cause impinging on the recurrent laryngeal nerve that can cause hoarseness?
ReplyDeleteYes!
DeleteYup, so can a thyroid mass (especially a feature of malignant ones)
ReplyDeleteAlso, my ORL lecturers tell us to say only 'hoarseness', not 'hoarseness of voice', since only the voice can be hoarse, nothing else could be
Haha yes! makes sense!
Delete