Forwarded from pure angel
يلا ملاحظات مهمة عن stridor 👇🏻👇🏻
Inspiration = larynx
Expiration= trachea
………
Most common course to it in elderly = laryngeal tumor
Most common cause to it in children =laryngomalecia
………
⭐️زين هسه اني جبت طاري laryngiomalecia هنا راح يصير floppy supraglottis فراح يصير عند البيبي chronic stridor باول ساعات من حياته (الطفل بكلبه ساعة السودة 😂) طبعاً هذه الحالة ممكن تبقى mild وممكن تصير sever with chest retraction إذا صار infection فهنا لازم ادخل البيبي للمستشفى واسوي له flexible laryngoscope راح اشوف glottis صاير شكلها يشبه لمدا λ 🧠‼️👉🏻 وراح أطمن الاهل على حالة المريض إذا الاهل يحسون اسوي surgery واشيل الmucosa lax (الجزء المرن ) …… واذا تأخروا باتخاذ القرار وحالة الطفل كلللللللشششششش ساءت واني من فحصت شفت الطفل ما عنده vocal cord paralysis راح افكر احطله endo-tracheal tube او tracheostomy 🚨🦋✨👉🏻
……..
🌟 عندي papilloma هذه تصير بكل الجهاز التنفسي من الحلك لحد الرئة وهي نوعين single في adult تصير بال free adega of vocal cord وهذه حتى لو تشيلها ممكن ترجع وكذلك تعتبر pre-malignant …… اما النوع الثاني multiple هذه تصير في infant تنتقله من الام اثناء الولادة 🥹🥺
⚠️العلاج راح أشيل wart بال CO laser وكذلك راح انطي interferone 1 & Isotretinoin وحاول قدر الإمكان تتجنب tracheostomy 🔥💞
….
Forwarded from pure angel
🌟Most common cause of hoursness 👉🏻 acute laryngitis
🌟Most benign tumor cause hoursness 👉🏻polyp
Most benign tumor in women cause hoursness 👉🏻nodule
🌟Most common malignant tumor cause hoursness 👉🏻squamous cell carcinoma
……
🐣🩵
🌟Most benign tumor cause hoursness 👉🏻polyp
Most benign tumor in women cause hoursness 👉🏻nodule
🌟Most common malignant tumor cause hoursness 👉🏻squamous cell carcinoma
……
🐣🩵
Forwarded from pure angel
احفظ هذه اكو وحدة وكع ابنها بالمسبح فعاطت بأعلى صوت صارت عندها vocal haemorrhage بسبب شدة التردد مال الصوت والهواء مزقت blood vessels …… فبسرعة انملت الحنجرة والأحبال الصوتية بالدم هنا الحالة تعتبر 🚨🚨🚨 emergency. لانه البيشنت راح تخسر صوتها فجأة
🙈🙈
🙈🙈
Forwarded from pure angel
مريض ال GERD راح يصير عنده hoursness الصبح ويبدي يرجع صوته تدريجياً خلال النهار ……
Forwarded from pure angel
إذا واحد عنده hoursness سببه vocal cord paralysis راح ادزه بسرعة bronchoscope حتى استبعد malignancy
👉🏻🧠
👉🏻🧠
Forwarded from pure angel
المعلمات والأمهات (من ابنهم يصير بالمدرسة 😂😂😂) راح تشوف دائماً صوتهم مبحوح خطية لانه هواية يحجون ويصيحون فهنا راح يصير chronic irritation to vocal فراح يسبب nodule هذه ما تحتاج علاج بس كولها صيري ريلاكس ولا تعيطين كل الوقت 🙈🙈 انتبه خاف يغلطك تره الnodule تطيب وحدها ما تحتاج surgery 🧠👉🏻
..
..
Study room 808
https://t.me/MDF_ENT/473
الي يريد يحل انسكيوات ويراجع نفس الوكت خل يحل اهنا
يارب الكل يجاوب ان شاء الله 🤍
نلتقي بالباطنية اذا استمر الواهس👍🏻✅
نلتقي بالباطنية اذا استمر الواهس👍🏻✅
💯3👍1😭1
Study room 808
شباب اهنا اني اعرفه هنه 3 زواجه
الجواب 7طلع نشكر زميلتنا
Forwarded from Time to Study 🌿
Acute and chronic laryngitis الدكتور كال عليهم مهمات واللي اني شفتهم مهمات 🤝
1-Acute non-specific laryngitis
(Acute simple laryngitis in adults) 👩
Perichondritis may follow the purulent form. The causal organism is usually the haemolytic streptococcus.mcq
………………………
Acute simple laryngitis in children
Acute laryngitis is a more serious condition in children than in adults. Cause The lymphatic drainage of the larynx is richer in the child and the submucosa is therefore more likely to swell.
A laryngeal spasm (‘false croup’) develops suddenly.
Laryngitis stridulosa ’ is the name given to the condition when stridor is present.
Tracheostomy is indicated when the obstruction is severe. It is better done the too early than too late.
………………………………
Acute laryngbtracheobronchitis(croup)
Causative organism .is usually parainfluenza virustype 1.mcq
Tenacious exudation and crusting. Characteristic,
Diphtheria which can be distinguished by bacteriological examination and there is no bleeding when the crust are
removed in cases of acute laryngotracheobronchitis
Should be in hospital. Tracheostomy may be needed.
…………………
Acute epiglottis
Localized oedema may obstruct the airway, especially in children. H. influenza is the usual causal organism, (mcq)B Haemolytic streptococci rarely. Submucosal abscesses may form
Dyspnoea maybe progressive and alarming, especially in children, in whom death may occur within a few hours of onset.
Constant supervision in hospital, when stridor is present
Endotracheal intubation. May prove extremely difficult.
Tracheostomy may become urgently necessary specially in, children.
…………………………
Chronic non-specific laryngitis
Myositis occurs in the intrinsic muscles.
Excessive(mcq) viscid secretions result from increased activity of the mucous glands.
The hyperaemic and oedematous stage often passes to >>a granular hypertrophic one, rarely to an atrophic one.
Soreness in the throat is a common complaint.
حمره جبيره مورمه
Laryngeal appearances
There are three types of chronic simple laryngitis:
1. Hyperaemic In severe cases the cords are deep red in colour and appear rounded and ‘sausage- like’(mcq)
2. Hypertrophic
3. Oedematous
In all types the larynx is nearly always affected bilaterally and symmetrically.
Tx:Elimination of irritating factors such as dust and tobacco smoking
Carbocisteine ( a mucolytic ) may give symptomatic benefit
Stripping of the vocal cord is performed endoscopically in resistant cases of chronic edematous laryngitis
…………………
Atrophic laryngitis (laryngitis sicca)
Uncommon
Hoarseness and irritation in the throat both of which are improved temporarily by hawking and coughing up the crusts.
Dyspnea may be caused by large obstructing crusts.
Treatment
Eradication of associated lesions in the nose and paranasal sinuses.
Change of atmospheric conditions may be beneficial.
Removal of crusts will afford some local relief.
This is aided by:
1. Inhalations of menthol, or oil of pine.
2. Carbocisteine by mouth.
3. laryngeal spray such as Benadryl or sodium bicarbonate
4. hormonal local application of hormone in oil with uncertain result
………………………………
Tuberculous laryngitis
Most infections are Sputogenic, a few are hematogenous and very small number with lymph streamاكثره عن طريق البلغم
Progress of the disease leads to masses of granulation tissue and also to cellular swelling (a pseudo-oedema) Lesions are
usually asymmetrical, except With interarytenmd granulations and the turban-like pseudo-oedema which involves the
epiglottis, 'aryepiglottic folds, arytenoids, and ventricular bands.
The posterior half of the larynx is most frequently involved,(mcq) but often one whole cord may be affected or the epiglottis,or the mucosa of the ventricle.
At a later stage there is perichondritis and cartilage necrosis.
psudoedema of the epiglottis and arytenoids ( turban larynx ) of pale susage like appearance
1-Acute non-specific laryngitis
(Acute simple laryngitis in adults) 👩
Perichondritis may follow the purulent form. The causal organism is usually the haemolytic streptococcus.mcq
………………………
Acute simple laryngitis in children
Acute laryngitis is a more serious condition in children than in adults. Cause The lymphatic drainage of the larynx is richer in the child and the submucosa is therefore more likely to swell.
A laryngeal spasm (‘false croup’) develops suddenly.
Laryngitis stridulosa ’ is the name given to the condition when stridor is present.
Tracheostomy is indicated when the obstruction is severe. It is better done the too early than too late.
………………………………
Acute laryngbtracheobronchitis(croup)
Causative organism .is usually parainfluenza virustype 1.mcq
Tenacious exudation and crusting. Characteristic,
Diphtheria which can be distinguished by bacteriological examination and there is no bleeding when the crust are
removed in cases of acute laryngotracheobronchitis
Should be in hospital. Tracheostomy may be needed.
…………………
Acute epiglottis
Localized oedema may obstruct the airway, especially in children. H. influenza is the usual causal organism, (mcq)B Haemolytic streptococci rarely. Submucosal abscesses may form
Dyspnoea maybe progressive and alarming, especially in children, in whom death may occur within a few hours of onset.
Constant supervision in hospital, when stridor is present
Endotracheal intubation. May prove extremely difficult.
Tracheostomy may become urgently necessary specially in, children.
…………………………
Chronic non-specific laryngitis
Myositis occurs in the intrinsic muscles.
Excessive(mcq) viscid secretions result from increased activity of the mucous glands.
The hyperaemic and oedematous stage often passes to >>a granular hypertrophic one, rarely to an atrophic one.
Soreness in the throat is a common complaint.
حمره جبيره مورمه
Laryngeal appearances
There are three types of chronic simple laryngitis:
1. Hyperaemic In severe cases the cords are deep red in colour and appear rounded and ‘sausage- like’(mcq)
2. Hypertrophic
3. Oedematous
In all types the larynx is nearly always affected bilaterally and symmetrically.
Tx:Elimination of irritating factors such as dust and tobacco smoking
Carbocisteine ( a mucolytic ) may give symptomatic benefit
Stripping of the vocal cord is performed endoscopically in resistant cases of chronic edematous laryngitis
…………………
Atrophic laryngitis (laryngitis sicca)
Uncommon
Hoarseness and irritation in the throat both of which are improved temporarily by hawking and coughing up the crusts.
Dyspnea may be caused by large obstructing crusts.
Treatment
Eradication of associated lesions in the nose and paranasal sinuses.
Change of atmospheric conditions may be beneficial.
Removal of crusts will afford some local relief.
This is aided by:
1. Inhalations of menthol, or oil of pine.
2. Carbocisteine by mouth.
3. laryngeal spray such as Benadryl or sodium bicarbonate
4. hormonal local application of hormone in oil with uncertain result
………………………………
Tuberculous laryngitis
Most infections are Sputogenic, a few are hematogenous and very small number with lymph streamاكثره عن طريق البلغم
Progress of the disease leads to masses of granulation tissue and also to cellular swelling (a pseudo-oedema) Lesions are
usually asymmetrical, except With interarytenmd granulations and the turban-like pseudo-oedema which involves the
epiglottis, 'aryepiglottic folds, arytenoids, and ventricular bands.
The posterior half of the larynx is most frequently involved,(mcq) but often one whole cord may be affected or the epiglottis,or the mucosa of the ventricle.
At a later stage there is perichondritis and cartilage necrosis.
psudoedema of the epiglottis and arytenoids ( turban larynx ) of pale susage like appearance
Time to Study 🌿
Photo
ركز اهنآ غلطانين
الاختيار الأول هو صح
الاختيار الأول هو صح