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15 Possible Causes for Hoarseness, Tracheal Tug

  • Thoracic Aortic Aneurysm

    Abstract Hoarseness due to left recurrent laryngeal nerve paralysis was first described in 1897 by Norbert Ortner.[] tug), and tracheal deviation.[] His presenting symptom was hoarseness of three months duration.[]

  • Mediastinal Neoplasm

    Symptoms can include: cough shortness of breath chest pain fever/chills night sweats coughing up blood unexplained weight loss swollen lymph nodes respiratory blockage hoarseness[]

  • Acute Subglottic Laryngitis

    Respiratory manifestations of the condition include dyspnea, cough, stridor, and hoarseness.[] The respiratory distress is quite notable with dyspnea, intercostal retractions, nasal flaring, and tracheal tugging.[] Talking too much, screaming, constantly clearing your throat, or smoking can make you hoarse.[]

  • Croup

    METHODS: Children were classified as having recurrent croup if they had had 2 or more episodes of barky cough, inspiratory stridor, and hoarseness.[] The respiratory distress is quite notable with dyspnea, intercostal retractions, nasal flaring, and tracheal tugging.[] In febrile children, the presence of hoarseness, barking cough or acute inspiratory stridor is usually indicative of croup.[]

  • Spasmodic Croup

    The voice is hoarse but not lost. The cough has a characteristic brazen tone.[] Tug Nasal Flaring Marked increase or decrease Tracheal Tug Nasal Flaring Accessory Muscle Use None or minimal Moderate chest wall retraction Marked chest wall retraction[] That was my signal to check him, and he would have a wheeze and an obvious tracheal tug. Usually we could relieve it with ventolin (4-6 puffs) about 1/2-1hr apart?[]

  • Aortic Dilation

    But as it grows, you may notice some signs, including: Chest or back pain Difficulty breathing or swallowing Shortness of breath Coughing Hoarseness Your doctor often can[] Signs or symptoms may include: Pain in your jaw, neck, upper back (or other part of your back), or chest Coughing, hoarseness, or trouble breathing How Is an Aneurysm Diagnosed[] If you compress that nerve, you might end up with a hoarse voice or you might compress your vena cava and you'd have compromised vena's return or you might compress your trachea[]

  • Laryngeal Stridor

    • Noisy breathing - stertor, stridor • Increased respiratory rate • Increased use of muscles (accessory, intercostal) • Tracheal tug • Difficulty in talking • Tachycardic[] Hoarseness (trachyphonia) is a very common symptom of laryngeal disease. Hoarseness may be the result of inflammation, benign or malignant tumor or vocal cord paralysis.[] Occasionally, recurrent laryngeal nerve involvement causes hoarseness 有时,喉返神经受累引起声音嘶哑。[]

  • Inhalation Burn

    Clinical features of airway burns include soot in the airway, stridor, hoarseness, singed nose hair, and mucosal ulceration Historically, survivors of explosions and fires[] An additional and potentially ominous finding is when the patient is using accessory muscles to breathe, with associated tracheal tugging. 4,6,8,23,24 Note the patient’s voice[] Signs of an inhalation burn injury include: Facial Burns Singed Nasal Hairs Redness, Swelling, or Mouth-Blisters Cyanosis of the Skin Hoarse Throat Impaired State of Mental[]

  • Congenital Laryngeal Cyst

    Tracheal tug, sternal retractions, inter-costals, and sub costal retractions were also present. The chest x-ray was consistent with right-sided aspiration pneumonia.[] They often cause chronic hoarseness and severe stridor. Case reports of congenital laryngeal cyst complicated with pneumothorax and pneumomediastinum are very rare.[] The symptoms which also may include hoarseness, cyanosis and feeding problems, usually appear the first day, but may be delayed up to several weeks or even years [ 3 ].[]

  • Upper Airway Obstruction

    Her physical examination was concerning for impending respiratory failure as she presented with inspiratory stridor and hoarseness.[] Continued breathing effort against a partially or completely obstructed airway manifests it self as distorted paradoxical breathing and tracheal tug.[] […] obstruction [PDF] Children's Acute Transport Service Clinical Guidelines Upper airway obstruction (UAO) Document Control Information Author Croup (predominantly inspiratory), hoarse[]

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