step 2 cs -pt came in with hoarseness
history taking
OPEN CHIN
Overuse of voice
Painful while talking
Exposure to cold weather or dust recently
Neck swelling
Cardiovascular history ( tia/stroke,hypercholesterolemia)
Heartburn(r/o GERD)
Infection (URI,pharyngitis,HIV,ill contact)
Night sweats/fever/chills?
diffrential diagnosis of hoarseness
laryngeal cancer
laryngitis
vocal cord polyps/nodules
hypothyroidsim
MV stenosis
diagnostic workup:
laryngoscopy
ESR
ct-chest n neck
esophageal ph monitoring
cbc
tsh
cardiac echo
OPEN CHIN
Overuse of voice
Painful while talking
Exposure to cold weather or dust recently
Neck swelling
Cardiovascular history ( tia/stroke,hypercholesterolemia)
Heartburn(r/o GERD)
Infection (URI,pharyngitis,HIV,ill contact)
Night sweats/fever/chills?
diffrential diagnosis of hoarseness
laryngeal cancer
laryngitis
vocal cord polyps/nodules
hypothyroidsim
MV stenosis
diagnostic workup:
laryngoscopy
ESR
ct-chest n neck
esophageal ph monitoring
cbc
tsh
cardiac echo
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