Challenges/Opportunities in Managing the Dizzy Older Adult (original) (raw)
2010, Otolaryngology - Head and Neck Surgery
PROGRAM DESCRIPTION: Hoarseness is an exceptionally common symptom that often will lead to a referral to an otolaryngologist. Although frequently self-limited, hoarseness can persist and lead to significant dysfunction as well as portend potentially life threatening illness. The otolaryngologist plays a unique role on the appropriate diagnosis and treatment of hoarseness, while considering the health care costs of care. Fortunately the directed history and physical examination will often yield the diagnosis, but this is not always the case. The role of more complex evaluation modalities such as laryngeal videostroboscopy and electromyography are not as straight forward. Even more complex is the treatment, such as for laryngopharyngeal reflux, or the timing of surgery in relationship to speech therapy. This subject has been the focus of much recent interest, and by having input in an open panel format, the practitioner will be offered guidelines to modern management based on the recent literature. Focused history and physical examination will be reviewed as well on the components of a thorough physical examination. The place of more sophisticated diagnostic modalities will be discussed as well as various treatment options whether they be medical, voice therapy, or surgical. Case examples will form the basis for discussion, with ample time for audience interaction. EDUCATIONAL OBJECTIVES: 1) Understand the elements of a history and physical examination of an adult patient with hoarseness. 2) Discern the appropriate role of ancillary diagnostic studies such as videostroboscopy and electromyography. 3) Comprehend, based on current information, treatment modalities such a medications, voice therapy, and surgery.
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