Otolaryngology Book

Hearing Disorders

Laryngeal Disease

Nasal Disease

Salivary Gland Disorders

Tongue Disorders

Vestibular Disorders

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Hoarseness History

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  1. See Also
    1. Hoarseness
    2. Hoarseness Causes
    3. Laryngeal Exam
  2. Exposure history
    1. Surgical history
    2. Voice abuse
    3. Tobacco abuse
    4. Alcohol Abuse
  3. Onset
    1. Acute (without trauma or Foreign Body Ingestion)
      1. Viral Laryngitis
      2. Bacterial Laryngitis or acute Epiglottitis
    2. Chronic
      1. Voice abuse
      2. Smoke exposure
      3. Laryngeal Neoplasm
      4. Gastroesophageal Reflux (Reflux Laryngitis)
  4. Timing
    1. Evening Onset: Neuromuscular cause
      1. Myasthenia Gravis
      2. Recurrent Laryngeal Nerve Palsy
    2. Morning Onset
      1. Gastroesophageal Reflux (Reflux Laryngitis)
    3. Constant Hoarseness: Larynx Structural Change
      1. Laryngeal Neoplasm
      2. Laryngeal trauma
      3. Functional Aphonia
      4. Dysphonia Plicae Ventricularis
    4. Intermittent Hoarseness: Benign or transient cause
      1. Voice abuse
      2. Postnasal drainage
  5. Associated symptoms
    1. More than 2 weeks Pharyngitis, Otalgia, Dysphagia
      1. Laryngeal Neoplasm
    2. Dyspnea
      1. Laryngeal Neoplasm
      2. Bilateral vocal cord palsy
      3. Acute Epiglottitis
    3. Laryngeal pain
      1. Contact laryngeal ulcer
      2. Cricoarytenoid joint arthritis or fixation
      3. Viral Laryngitis
      4. Bacterial Laryngitis
      5. Laryngeal foreign body
    4. Aspiration
      1. Tracheoesophageal fistula
      2. Unilateral vocal cord palsy (breathy, raspy voice)
      3. Weight loss
      4. Laryngeal Neoplasm
    5. Cough, Hemoptysis, Chest Pain
      1. Intrathoracic cause
    6. Fever
      1. Viral Laryngitis
      2. Bacterial Laryngitis or acute Epiglottitis
    7. Generalized weakness, no weight loss
      1. Neuromuscular Causes

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