Differential Diagnosis for Hoarseness

How many things can cause Hoarseness?  Here are some pearls I picked up today.

  • Cancer (esophageal/laryngeal) - Lasts longer than a couple weeks.
  • GERD (Gastroesophageal Reflux Disease)
  • Viral Pharyngitis (about a week)
  • Allergies (usually short duration)
  • Post Nasal Drip (see above)
  • Overuse injury (like yelling or screaming)

When in doubt, try a PPI for GERD and consult Otolaryngology for laryngoscopy to rule out cancer.

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