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General Differential Diagnoses in a Patient with Hoarseness

HOARSEN
ESS
>2
weeks
Yes

No

Acute

Infectio
us

Trauma

Laryngit
is

Submuc
osal
hemorra
Larynge
al

Influenz
a
Viral
Exanthe
ms
Laryngotracheobronchiti
s
Diphther
ia
Syphilis

Viral
Exanthe
ms

Foreign
body
Intubati
on

Chronic

Function
al
Voice
overuse
Spasmo
dic

Medication
associated
Corticostero
id
associated
hoarseness
Anticholiner
gic
associated
hoarseness

Neoplas
tic
Reinkes
Edema

Papilloma
Vocal
polyp
Vocal
nodules
Carcinoma

Neurological/

Systemic/

Neuromuscula
r

Endocrine
/
Infectious

Parkinso
ns
Disease

Hypothyroi
dism

Atrophi
c
larnygit

Granulomat
ous disease

Myasthe
nia
gravis

Tuberculosi
s

Paralysis
of
recurren
t or
superior
laryngea
l nerves
or both

Rheumatoi
d arthritis
(cricoaryte
noid joints)

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