2011 Surg 4

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Name 5 common DDx for hoarseness.
- Laryngitis
- Trauma: voice abuse, intubation granuloma
- Laryngeal or lung cancer
- Goiter, throiditis, GORD, hypothyroidism
Name 5 red flag symptoms of hoarseness when not associated with URTI.
- Weight loss
- Smoking/alcohol
- Stridor/haemoptysis/SOB/cough
- Dysphagia/odynophagia
- Referred ear pain
Name one key investigation for hoarseness.

Laryngoscopy!

(additionally: CT scan, thyroid scan, EMG)
Describe the treatment options for laryngeal ca.
From local to metastasised:
- Endoscopic removal
- Laser vaporisation
- Partial/total laryngectomy
- External beam radiation (RT)
- Induction chemo + RT