Photoclinic Challenge

Why Does This 74-Year-Old Man Have a Hoarse Voice and Difficulty Swallowing Food?

Volume 64 - Issue 2 - February 2024

Consultant360’s Photoclinic Challenge is an interactive quiz based on an image featured in a Photoclinic article. View the slideshow for a brief overview of the case, patient history, and a key hint. For more Photoclinic Case Reports, visit our archive.

Figure. Lateral x-ray showing hypopharynx (the "thumb sign") and a narrowing of airways.

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Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.

For more COPD content, visit the Disease State Hub

Case. A 74-year-old man with a history of COPD presented to the ED with hoarseness of his voice and difficulty eating 2 days prior to his hospital admission.

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Patient history. The patient had a muffled voice and difficulty swallowing food. He did not complain of coughs, sputum production, difficulty breathing, fevers, drooling or swelling of the neck, lips, or tongue.

For more Inflammation content, visit the Disease State Hub

Diagnostic testing. Labs showed a WBC of 11.9 × 103/μL (ref: 4.0-11.0 × 103/μL); a monocyte count of 0.9% (ref: 0-10%), and an absolute neutrophil count of 8.8 (ref: 2.0-7.5 × 103/μL).

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Key hint. The patient's imaging included a lateral soft tissue neck x-ray, which showed a thickened epiglottis.

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Why Does This 74-Year-Old Man Have a Hoarse Voice and Difficulty Swallowing Food?

© 2023 HMP Global. All Rights Reserved.Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.

© 2023 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.