Podcast
Questions and Answers
What is a potential consequence of chronic steroid inhaler use in asthma patients?
What is a potential consequence of chronic steroid inhaler use in asthma patients?
What triggers cough-variant asthma that may affect vocal cords?
What triggers cough-variant asthma that may affect vocal cords?
Which factor is NOT mentioned as contributing to irritation of the vocal cords?
Which factor is NOT mentioned as contributing to irritation of the vocal cords?
What is functional dysphonia primarily classified as?
What is functional dysphonia primarily classified as?
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What might indicate a need for caution during evaluation of laryngitis?
What might indicate a need for caution during evaluation of laryngitis?
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What is the recommended course of treatment for acute laryngitis?
What is the recommended course of treatment for acute laryngitis?
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Which symptom is NOT commonly associated with laryngitis?
Which symptom is NOT commonly associated with laryngitis?
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Effective evaluation of an acute laryngitis patient should include which of the following?
Effective evaluation of an acute laryngitis patient should include which of the following?
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Study Notes
Asthma and Laryngitis
- Asthma can increase the risk of laryngitis, potentially due to irritant chemicals from inhalers.
- Chronic steroid inhaler use may predispose to fungal laryngitis, especially if patients don't follow instructions to drink plain water afterwards.
- Cough-variant asthma can cause repetitive vocal cord injury, leading to voice changes mimicking acute laryngitis.
Environmental Triggers
- Environmental factors like seasonal allergies, air pollution, and inhalation of noxious substances (e.g., smoking, exposure to chemicals) can trigger laryngeal irritation and edema of the vocal folds.
- Sensitivity to perfumes, colognes, or other common aromatics can also lead to laryngeal symptoms.
Functional Dysphonia
- Functional dysphonia is a group of conversion disorders involving various voice symptoms and physical examination findings.
- It's a diagnosis of exclusion.
- Recent major life stressors are common triggers.
Evaluation and Treatment of Acute Laryngitis
- Thorough history and physical examination are essential.
- Key factors to consider include recent illnesses, systemic illness signs, immune status, immunization history, allergies, travel history, and any other relevant medical conditions (e.g., GERD).
- Common symptoms include voice changes (including aphonia), throat discomfort/pain, dysphagia/odynophagia, dry cough, general dryness, malaise, fever, and frequent throat clearing.
- Referral to an otolaryngologist for laryngeal examination might be necessary.
- Voice rest is the recommended treatment.
- Antihistamines and oral steroids are not recommended treatments.
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Description
This quiz covers the relationship between asthma and laryngitis, detailing how asthma can increase the risk of laryngeal irritation. It also explores environmental triggers that exacerbate these conditions and discusses functional dysphonia as a potential complication. Gain insights into evaluation and treatment options for acute laryngeal issues.
