ENT

Question 1

Vocal Cord dysfunction

Answer 1

Vocal Cord Dysfunction/ Inducible laryngeal obstruction
- inappropriate, transient, reversible narrowing of the larynx in response to external triggers

Triggers - asthma, exercise, post extubation, inhaled irritants, gord, psychosocial stressors

upper airway wheeze/ stridor - not heard in bases, no response to bronchodilators or adrenaline, coughing, hoarse voice

Nasoendoscopy - paradoxical vocal cord movement in adduction - usually anterior cords. Supraglottic constriction. Absence of oedema or FB

Breathing exercises, panting/ speech path, reassurance, diazepam/ midazolam, treat co-concurrent asthma/ gord, reduce irritants, CPAP, Botunilnum toxin

Question 2

Peritonsillar Abscess/ Quinsy

Answer 2

Deviated uvular, functuant mass