dysphonia

Question 1

what is it

Answer 1

difficulty producing sound with change in voice pitch or quality

Question 2

when should you investigate

Answer 2

if lasting >3 weeks as chief presentation. suspect laryngeal carcinoma

Question 3

tests

Answer 3

laryngoscopy

Question 4

specific causes

Answer 4

reflux laryngitis, laryngitis, reinkes oedema

Question 5

what is reflux laryngitis assoc with

Answer 5

GORD- give PPI

Question 6

what is laryngitis

Answer 6

usually viral and self limiting. can be secondary to GORD or autoimmune disease.

Question 7

symptoms laryngitis

Answer 7

pain, hoarse, fever. give penicillin if necessary

Question 8

what is reinkes oedema

Answer 8

chronic cord irritation from smoking +- chronic voice abuse,

Question 9

less common causes dysphonia

Answer 9

GBS, goitre, carotid body tumour, neoplasm, toxic, epiglottitis, abscess, decr lubrication, layngoceles

Question 10

what is laryngeal nerve palsy

Answer 10

vocal cord paralysis symptoms- hoarse with breathy voice, and weak cough; repeated coughing/aspiration; exertional dyspnoea.

Question 11

causes laryngeal nerve palsy

Answer 11

cancers, iatrogenic, CNS disease, TB, AAA