Laryngitis physical examination: Difference between revisions

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{{Laryngitis}}
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==Overview==
Patients with laryngitis usually appear well. Physical examination of patients with laryngitis is usually remarkable for [[vocal fold cyst]], [[vocal fold nodules]], and [[swollen lymph nodes]] in the neck.<ref name="pmid19678604">{{cite journal| author=Feierabend RH, Shahram MN| title=Hoarseness in adults. | journal=Am Fam Physician | year= 2009 | volume= 80 | issue= 4 | pages= 363-70 | pmid=19678604 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19678604  }} </ref><ref name="pmid19729111">{{cite journal| author=Schwartz SR, Cohen SM, Dailey SH, Rosenfeld RM, Deutsch ES, Gillespie MB et al.| title=Clinical practice guideline: hoarseness (dysphonia). | journal=Otolaryngol Head Neck Surg | year= 2009 | volume= 141 | issue= 3 Suppl 2 | pages= S1-S31 | pmid=19729111 | doi=10.1016/j.otohns.2009.06.744 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19729111  }} </ref>


==Overview==
==Physical Examination==
===Appearance of Patient===
*Patients are usually well-appearing.<ref name="pmid19678604">{{cite journal| author=Feierabend RH, Shahram MN| title=Hoarseness in adults. | journal=Am Fam Physician | year= 2009 | volume= 80 | issue= 4 | pages= 363-70 | pmid=19678604 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19678604  }} </ref>
 
===Vital Signs===
*[[Fever]]<ref name="pmid19678604">{{cite journal| author=Feierabend RH, Shahram MN| title=Hoarseness in adults. | journal=Am Fam Physician | year= 2009 | volume= 80 | issue= 4 | pages= 363-70 | pmid=19678604 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19678604  }} </ref>
 
===HEENT===
*Vocal fold:<ref name="pmid19678604">{{cite journal| author=Feierabend RH, Shahram MN| title=Hoarseness in adults. | journal=Am Fam Physician | year= 2009 | volume= 80 | issue= 4 | pages= 363-70 | pmid=19678604 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19678604  }} </ref><ref name="pmid19729111">{{cite journal| author=Schwartz SR, Cohen SM, Dailey SH, Rosenfeld RM, Deutsch ES, Gillespie MB et al.| title=Clinical practice guideline: hoarseness (dysphonia). | journal=Otolaryngol Head Neck Surg | year= 2009 | volume= 141 | issue= 3 Suppl 2 | pages= S1-S31 | pmid=19729111 | doi=10.1016/j.otohns.2009.06.744 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19729111  }} </ref><ref name="pmid27441076">{{cite journal| author=King W, Ko S, Miller D| title=Recurrent High-Grade Invasive Mucoepidermoid Carcinoma of Larynx: A Case Report and Review of the Literature. | journal=Rare Tumors | year= 2016 | volume= 8 | issue= 2 | pages= 6204 | pmid=27441076 | doi=10.4081/rt.2016.6204 | pmc=4935825 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27441076  }} </ref><ref name="pmid26043420">{{cite journal| author=Reiter R, Hoffmann TK, Pickhard A, Brosch S| title=Hoarseness-causes and treatments. | journal=Dtsch Arztebl Int | year= 2015 | volume= 112 | issue= 19 | pages= 329-37 | pmid=26043420 | doi=10.3238/arztebl.2015.0329 | pmc=4458789 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26043420  }} </ref><ref name="pmid17443555">{{cite journal| author=Reveiz L, Cardona AF, Ospina EG| title=Antibiotics for acute laryngitis in adults. | journal=Cochrane Database Syst Rev | year= 2007 | volume=  | issue= 2 | pages= CD004783 | pmid=17443555 | doi=10.1002/14651858.CD004783.pub3 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17443555  }} </ref>
**[[vocal fold cyst|Cyst]]s
**[[Erythema]]
**[[Edema]]
*[[vocal fold nodule|Nodule]]s
**Secretions
**Surface irregularities
*[[Granuloma]]s
*[[Dysphagia]]
*[[Hemoptysis]]
*[[Odynophagia]]
*[[Wheezing]]
 
===Neck===
*[[Lymphadenopathy]]<ref name="pmid19678604">{{cite journal| author=Feierabend RH, Shahram MN| title=Hoarseness in adults. | journal=Am Fam Physician | year= 2009 | volume= 80 | issue= 4 | pages= 363-70 | pmid=19678604 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19678604  }} </ref>


A [[physical examination]] can determine whether [[hoarseness]] is caused by a [[respiratory tract infection]]. Patients with lasting [[hoarseness]] (especially smokers) will need to see an [[ear]], [[nose]], and [[throat]] doctor ([[otolaryngologist]]) for tests of the [[throat]] and [[upper airway]].
===Heart===
*[[Heart burn]]


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Inflammations]]
[[Category:Otolaryngologic Disease]]
[[Category:Otolaryngology]]
[[Category:Otolaryngology]]
[[Category:Pulmonology]]
[[Category:Gynecology]]
[[Category:primary care]]
[[Category:Urology]]
[[Category:Needs content]]
[[Category:Pediatrics]]

Latest revision as of 22:29, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]

Overview

Patients with laryngitis usually appear well. Physical examination of patients with laryngitis is usually remarkable for vocal fold cyst, vocal fold nodules, and swollen lymph nodes in the neck.[1][2]

Physical Examination

Appearance of Patient

  • Patients are usually well-appearing.[1]

Vital Signs

HEENT

Neck

Heart

References

  1. 1.0 1.1 1.2 1.3 1.4 Feierabend RH, Shahram MN (2009). "Hoarseness in adults". Am Fam Physician. 80 (4): 363–70. PMID 19678604.
  2. 2.0 2.1 Schwartz SR, Cohen SM, Dailey SH, Rosenfeld RM, Deutsch ES, Gillespie MB; et al. (2009). "Clinical practice guideline: hoarseness (dysphonia)". Otolaryngol Head Neck Surg. 141 (3 Suppl 2): S1–S31. doi:10.1016/j.otohns.2009.06.744. PMID 19729111.
  3. King W, Ko S, Miller D (2016). "Recurrent High-Grade Invasive Mucoepidermoid Carcinoma of Larynx: A Case Report and Review of the Literature". Rare Tumors. 8 (2): 6204. doi:10.4081/rt.2016.6204. PMC 4935825. PMID 27441076.
  4. Reiter R, Hoffmann TK, Pickhard A, Brosch S (2015). "Hoarseness-causes and treatments". Dtsch Arztebl Int. 112 (19): 329–37. doi:10.3238/arztebl.2015.0329. PMC 4458789. PMID 26043420.
  5. Reveiz L, Cardona AF, Ospina EG (2007). "Antibiotics for acute laryngitis in adults". Cochrane Database Syst Rev (2): CD004783. doi:10.1002/14651858.CD004783.pub3. PMID 17443555.