Another Sore Throat

Immune System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with throat discomfort, odynophagia and voice changes - a triad of symptoms suggestive of a pathology in the laryngopharynx.\n\nNote that the larynx and pharynx lie adjacent to each other - thus, conditions involving one structure may spill over and affect the other.\n\nExamination reveals pharyngeal injection. This is suspicious of an inflammatory or infective etiology, i.e. laryngitis, pharyngitis or epiglottitis.\n\nLaryngitis and pharyngitis are most often due to viral infections, and typically follow an indolent course. However, this patient appears quite ill - this is at odds with these diagnoses.\n\nAcute epiglottitis may give rise to a similar clinical presentation, and these patients are often acutely ill. Note that fever, stridor, drooling and the \u0022tripod sign\u0022 are much less common in adults than in children.\n\nNote also that a delay in the diagnosis of acute epiglottitis may result in fatal upper airway obstruction - thus a high index of suspicion is import"}]}

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