The Internet Book of Critical Care Podcast

IBCC Episode 85 - Vocal Cord Dysfunction

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Jun 22, 2020
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INSIGHT

Vocal Cord Dysfunction Epidemiology

  • Vocal cord dysfunction is often confused with asthma due to similar presentations.
  • It mostly affects younger, sometimes female patients and can co-exist with asthma, complicating diagnosis.
ADVICE

Vocal Cord Dysfunction Clues

  • Consider vocal cord dysfunction in patients with multiple rapid-onset breathlessness episodes labeled as asthma.
  • If intubation resolves airway resistance quickly and easily, suspect vocal cord dysfunction, not typical asthma.
ADVICE

Auscultation Differentiates Conditions

  • Listen over the neck for loud stridor in suspected vocal cord dysfunction.
  • Use auscultation over lungs to differentiate from asthma, which produces expiratory wheezing, not loud neck sounds.
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