![Group⟨D⟩~[4th Year]^(39)](https://cdn.tlmtr.io/_next/image?url=https%3A%2F%2Fimg.tlmtr.io%2Fc%2F2ICO0X%2F5845936594710808479%3Fty%3Dl&w=48&q=75){kind=small}
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![Group⟨D⟩~[4th Year]^(39)](https://cdn.tlmtr.io/_next/image?url=https%3A%2F%2Fimg.tlmtr.io%2Fc%2F2ICO0X%2F5845936594710808479%3Fty%3Dx&w=64&q=75){kind=small}
🔴DIAGNOSIS:
Chronic diffuse hypertrophic
laryngitis.
🔴SYMPTOMS:
¹- hoarseness
²-dry irritation cough.
🔴SIGNS:
¹-bilateral diffuse symmetrical.
thickening.
²-congestion of vc.
🔴TREATMENT:
¹-avoid predisposing factors.
²-steam inhalation with tincture.
benzoine.
³-microlaryngosurgery with.
stripping
( v c).
⁴-speech therapy.
#Larynx
#B2_short_note
🔴DIAGNOSIS:
T.B. laryngitis
🔴SYMPTOMS:
¹-hoarseness of voice.
²-stridor.
³-pain referred to ear.
⁴-cough,hymoptysis.
⁵-TB.toxaemia.
🔴SIGNS:
TB.granulation in the posterior part
of larynx.
🔴TREATMENT:
¹-tracheostomy (sever stridor).
²-antitubrrculous
(rifampicin and isoniazid).
🔴COMPLICATIONS:
Perichondritis➡️necrosis of
cartilage ➡️laryngeal stenosis.
#Larynx
#B2_short_note
🔴DIAGNOSIS:
Vocal cord nodules.
🔴CAUSES:
Voice abuse➡️subepithelial.
hematoma ➡️organizations.
🔴SYMPTOMS:
hoarseness of voice.
🔴SIGNS:
bilateral small nodules at the
junction between anterior ⅓ and.
posterior ⅔ of vc.
🔴TREATMENT:
¹-complete voice rest.
²-speech therapy
(nodules are small).
³-microlaryngosurgery with
removal of nodules.
#Larynx
#B2_short_note
🔴DIAGNOSIS:
Leukoplakia➡️ it's a precancerous
lesion.
🔴description:
¹‐grossly➡️raised white patch on
the surface epithelium.
²- microscopically➡️hyperplasia,
hyperkeratosis
and acanthosis
🔴CAUSED:
by chronic irritation to the laryngeal
mucosa (smoking).
🔴SYMPTOMS:
hoarseness of voice.
🔴TREATMENT:
¹-microlaryngosurgery with
removal of leison by laser or
conventional .
²-regular follow-up
(lesion is precancerous).
#Larynx
#B2_short_note
🔴Congenital cyst ⇒supraglottic
💠SYMPTOMS:
¹-stridor (inspiratory=supraglottic).
²-hoarseness( if cyst reaching the vc).
💠SIGNS:
¹-Cyst.
💠TREATMENT:
¹-tracheostomy (sever stridor).
²-microlaryngosurgery and excision
by laser or conventional.
#Larynx
#B2_short_note
🔴Laryngo-tracho esophageal cleft
💠SYMPTOMS:
¹-hoarseness²-stridor³-aspiration➡️
(chest infection)
#Larynx
#B2_short_note
🔴Subglottic haemangioma
💠SYMPTOMS:
¹-stridor(Biphasic=subglottic).
²-no hoarseness.
💠 SIGNS:
¹-purple subglottic mass.
💠TREATMENT:
¹-no treatment (improves
spontaneously) .
²-tracheostomy (sever stridor).
³-microlaryngosurgery (sever.
symptoms).
#Larynx
#B2_short_note
🔴Congenital subglottic stenosis
💠SYMPTOMS:
¹-stridor(Biphasic=subglottic).
²-no hoarseness.
💠SIGNS:
¹-stenosis.
💠TREATMENT:
¹-tracheostomy(in sever stridor).
²-microlarengosurgery
(removal of stenosis by laser).
³-laryngofissure(in thic stenosis).
#Larynx
#B2_short_note
+2
🔴Laryngomalacia
💠SYMPTOMS:
¹-Stridor➡️inspiratory only.
²-no hoarseness.
💠SIGNS:
¹-collaps of larynx during inspiration .
💠TREATMENT:
¹-no treatment (improves.
spontaneously by the age of 18-24
month ,avoid upper respiratory.
infection
²-tracheostomy (in sever stridor)
with excision of redundant mucosa.
by laser
#Larynx
#B2_short_note
🔴Congenital web
💠SYMPTOMS:
¹-small web➡️Asymptomatic
²-large web➡️.weak hoarse cry
.stridor (inspiratory)
💠SIGNS:
¹- Grayish white in color at anterior
part between both (vc), with sharp
crescenteric posterior border.
💠TREATMENT:
¹-Small web:
➡️ no treatment
(avoid upper respiratory infections)
²-large web:
➡️tracheostomy (insever stridor )
➡️microlaryngosurgery.
#B2_short_note
D.D. of blue drum:-
1- Hemotympanum .
2. High jugular bulb .
3. Carotid aneurysm (ICA) .
4. Glue era (secretory otitis media) .
5. Glomus tumor .
تذكروها بهرمون HCG 🌚
مهم
#note.
☘D.D of headach:- ( actovgn_nd )☘
A---> aural
C---> cervical
T---> TMJ
O---> orbital
V---> vascular
G ---> general
N-N---> neural & nasal
D---> dental
☘ DD of Otosclerosis: ☘
o Osteogenesis imperfect—CHL, blue sclera, and multiple fractures
o Secretory otitis media and Adhesive otitis media
o Congenital Stapedial fixation
o Tympanosclerosis
#note.
D/D OF ACUTE TONSILLITIS
MADI LoVe MAT 😅
M-membranous tosillitis(follicular)
A-agranulocytosis
D-diphtheria
I-infectious mononucleosis
L-ludwig's angina
V-vincent's angina
M-malignancy
A-aphthous ulcer
T-tonsillar cleft
D.D of unilateral nasal mass :
· Antrochoanal polyp
· Angiofibroma.
· Inverted papilloma.
#note.
D.D of pulsatile Tennitis:
· Glomus
· High jugular bulb
· Carotid aneurysm
#note.
D.D. of pulsatile ear discharge:
· ASOM.
· Acute exacerbation on top of CSOM
· Extradural abscess.
#note.
D.D of offensive ear discharge:
1· Unsafe CSOM.
2· Neglected F.B.
3· Necrotising otitis media
4. Malignant in middle ear.
5. Anaerobic bacteria in middle ear.
6-malignant otitis externa
تكلم بهن د علي عبيد
#note.
D.D of offensive nasal discharge:
· F.B.
· oro-antral fistula
· Rhinoscleroma.
· chronic atrophic rhinitis.
· Nasal diphteria .
· maxillary sinusitis(of dental origin) .
#note.
