Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Loupe laryngoscopy (reflection of the larynx with a magnifying glass) – to exclude laryngitis or malignant (malignant) process. Sonography (ultrasound examination) of the oropharynx (oral part of the pharynx) and oral cavity … Sore Throat: Diagnostic Tests
The following symptoms and complaints may occur together with sore throat: Leading symptom Sore throat Associated symptoms General feeling of illness Fever Dysphonia (hoarseness) Irritative cough Dysphagia (swallowing disorder) Warning signs (red flags) Anamnestic information: HIV, gonorrhea, diphtheria (grayish pseudomembranous vouchers whose removal provokes bleeding). Immunosuppression Stridor (whistling breathing sound that occurs on inspiration and/or … Sore Throat: Symptoms, Complaints, Signs
The therapy of sore throat is carried out depending on the cause. Since most sore throats due to pharyngitis (pharyngitis) are caused by viral infections, the patient in such cases must wait for the normal healing process, which lasts over one to two weeks. See a. u. Pharyngitis (pharyngitis) or tonsillitis (tonsillitis). Also note serious … Sore Throat: Therapy
The term dysphonia – colloquially called hoarseness – (synonyms: hyperfunctional dysphonia; hypofunctional dysphonia; senile dysphonia; ICD-10-GM R49.0: dysphonia) refers to a voice disorder represented by a harsh, impure, or busy voice with an altered timbre. It occurs in diseases or dysfunctions of the larynx (larynx) and the base tube. Dysphonia is classified into: Organic voice … Hoarseness (Dysphonia)
Medical history (history of illness) represents an important component in the diagnosis of dysphonia (hoarseness). Family history What is the general health of your relatives? Social history What is your profession? Are you exposed to harmful working substances in your profession? Current medical history/systemic medical history (somatic and psychological complaints). How long has the hoarseness … Hoarseness (Dysphonia): Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Laryngocele – dilated blind sac located in the larynx. Respiratory system (J00-J99) Acute laryngitis (inflammation of the larynx). Chronic hyperplastic/atrophic laryngitis – form of chronic laryngitis. Epiglottitis (inflammation of the epiglottis). Laryngeal abscess – encapsulated collection of pus on the larynx. Peritonsillar abscess (PTA) – spread of inflammation … Hoarseness (Dysphonia): Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes Lymph node stations in the neck including palpation [lymphadenopathy (lymph node enlargement)?] Thyroid gland incl. Palpation (palpation) [thyroid carcinoma (thyroid cancer)] Auscultation … Hoarseness (Dysphonia): Examination
Laboratory diagnostics are usually not required for only short-term hoarseness. Second-order laboratory parameters-depending on the results of the history, physical examination, and obligatory laboratory parameters-for differential diagnostic clarification. Throat swab/culture – for suspected diphtheria, streptococcal infections. Antistreptolysin titer (ASL) – detectable about 1-3 weeks after the onset of streptococcal infection; about 6 weeks after infection, … Hoarseness (Dysphonia): Test and Diagnosis
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Inflammatory parameters – CRP (C-reactive protein). Small blood count – e.g., if Plummer-Vinson syndrome is suspected. Throat swab – if bacterial pharyngitis is suspected [Note: about 50-80% of pharyngitis is caused by … Sore Throat: Test and Diagnosis
General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised … Hearing Loss (Hypacusis): Therapy
Noise trauma (synonyms: acoustic trauma; acoustic trauma; hearing loss due to noise; noise effect on inner ear; noise-induced hearing loss; noise-induced deafness; acoustic trauma; noise-induced hearing loss; noise-induced deafness; noise-induced hearing loss; noise damage to the inner ear; ICD-10-GM H: 83.3: Noise-induced hearing loss of the inner ear) involves damage to the middle and/or inner … Noise Trauma
Medical history (history of illness) represents an important component in the diagnosis of noise trauma. Family history Social history Do you frequently expose yourself to loud music? What do you do for a living? Are you exposed to loud music there? Vegetative anamnesis Have you noticed any decreased hearing? How long has this been present? … Noise Trauma: Medical History
