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Symptoms and Signs – Differential Diagnosis of Hoarse voice
Singer's nodules
Recurrent laryngeal nerve injury: tumours (base of skull, neck, e.g. thyroid, mediastinum, e.g. lung cancer), surgery (thyroid, parathyroid, carotid endarterectomy)
Laryngitis: Acute (associated with viral upper respiratory tract infection, acute vocal strain), Chronic (associated with chronic vocal cord strain, alcohol, smoking, GORD, postnasal drip, chemical fumes)
Laryngeal trauma (e.g. intubation)
Laryngeal carcinoma
Hysterical aphonia
Hypothyroidism


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