Group⟨D⟩~[4th Year]^(39)

🔴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

🔴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.

⬅️ صور الروشيتات من دخول العيادة اليوم مع د.عبدالوهاب نسر #SubGroup_D4