Page 135 - 2021 IDMT Digital

LARYNGITIS
Introduction:
• $FXWH ODU\QJLWLV LV SUREDEO\ WKH PRVW FRPPRQ FDXVH RI KRDUVHQHVV ZKLFK PD\ SHUVLVW
IRU D ZHHN RU VR DIWHU RWKHU V\PSWRPV RI DQ XSSHU UHVSLUDWRU\ LQIHFWLRQ KDYH FOHDUHG
• 8VXDOO\ YLUDO LQ RULJLQ ± SRVVLEO\ M catarrhalis DQG H influenzaH EXW DQWLELRWLFV GR QRW
VLJQLILFDQWO\ DOWHU QDWXUDO UHVROXWLRQ

Subjective:
• 6LJQV DQG 6\PSWRPV
o 85, V\PSWRPV
o &RXJK
o 6WUDLQHG VSHHFK RU ZKLVSHULQJ WR WDON KRDUVHQHVV
• )RFXVHG +LVWRU\
o /HQJWK RI V\PSWRPV UHFHQW VKRXWLQJ VLQJLQJ SDLQ ZLWK VZDOORZLQJ OXPSV RU
PDVVHV LQ QHFN RU GLIILFXOW\ VZDOORZLQJ UHFHQW KHDUWEXUQ RU LQGLJHVWLRQ UHFHQW
85,

Objective:
• 3K\VLFDO ([DP
o /LVWHQ WR YRLFH TXDOLW\
o 7KRURXJKO\ LQVSHFW WKH RUDO FDYLW\ DQG SRVWHULRU SKDU\Q[ IRU HYLGHQFH RI LUULWDWLRQ
LQIODPPDWLRQ RU GUDLQDJH
o ,QVSHFW WKH QDVDO FDYLW\ IRU UKLQRUUKHD
o 3DOSDWH WKH QHFN IRU O\PSK QRGHV WHQGHUQHVV DQG VZHOOLQJ
Assessment:
• 'LIIHUHQWLDO
o /DU\QJRSKDU\QJHDO UHIOX[ FKURQLF V\PSWRPV UHVSRQVH WR SURWRQ SXPS LQKLELWRU
o 9RFDO DEXVH ZRUVH LQ WKH HYHQLQJ DFFRPSDQLHG E\ WKURDW FOHDULQJ
o 9RFDO FRUG QRGXOHV IRUHLJQ ERG\ VHQVDWLRQ
o &KURQLF UKLQLWLV FKURQLF GUDLQDJH WKURDW LUULWDWLRQ
o 9RFDO FRUG G\VIXQFWLRQ
Plan:
• 6XSSRUWLYH PHDVXUHV K\GUDWLRQ KXPLGLW\ OR]HQJHV DQG YRFDO UHVW
Patient Education:
• $YRLG VWUHQXRXV XVH RI YRLFH XQWLO YRLFH LV QRUPDO DQG DYRLG YRFDO DEXVH LQ WKH IXWXUH
• &DVHV VKRXOG LPSURYH ZLWKLQ ZHHNV
• )ROORZ XS $FWLRQV:
o ,I V\PSWRPV ZRUVHQ RU GR QRW LPSURYH ZLWKLQ ZHHNV
o ,PPHGLDWHO\ LI DQ\ LQFUHDVLQJ SDLQ GLIILFXOW\ VZDOORZLQJ RU VKRUWQHVV RI EUHDWK
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103

[ 134 ]