scholarly journals Lump in the Throat – an Algorithm for the Actions of a Physician

2020 ◽  
Vol 27 (2) ◽  
pp. E2020211
Author(s):  
Diana Orishchak ◽  
Nataliia Vasyliuk ◽  
Ostap Orishchak
Keyword(s):  
Clinical Study ◽  
Respiratory Tract ◽  
Clinical Manifestations ◽  
Endoscopic Examination ◽  
Medical Advice ◽  
Upper Respiratory Tract ◽  
Psychosomatic Disorders ◽  
Emotional Status ◽  
Comprehensive Examination ◽  
Upper Respiratory

Diagnosis and treatment of patients with complaints of the “lump in the throat” remain a complex multidisciplinary problem. This is due to the polyetiology of factors causing similar symptoms and an empirical approach to the treatment. “Lump in the throat” is one of the clinical manifestations of upper respiratory tract paresthesia. According to the literature data, there is the reason for referral to an otolaryngologist in 4.1 to 5.0% of cases. The objective of the research was to optimize and improve the diagnosis and pathogenetic approach to the “lump in the throat” treatment. Materials and Methods. To achieve the specified objective, a comprehensive examination of 38 patients who sought an otolaryngologist’s medical advice, complaining of a “lump in the throat” at the age of 18-45 years (26 women and 12 men), was performed. For the purpose of optimal diagnostics, general clinical examination, examination of ENT organs, endoscopic examination of the nasal cavity and nasopharynx, microlaryngoscopy were performed; the condition of patients’ psycho-emotional status was assessed (consultation of psychologist and psychiatrist). Results. A comprehensive clinical study of 38 patients with complaints of the “lump in the throat” at the age of 18-45 years was performed. Psychosomatic disorders were detected in 26 patients; ENT organ diseases were present in 12 patients. All patients received treatment depending on the diagnosed somatic, otorhinolaryngological and psychosomatic pathology.

Upper respiratory tract infections

2010 ◽  
pp. 3227-3231 ◽  
Author(s):  
P. Little
Keyword(s):  
Respiratory Tract ◽  
Sore Throat ◽  
Respiratory Tract Infections ◽  
Medical Advice ◽  
Upper Respiratory Tract Infections ◽  
Upper Respiratory Tract ◽  
Cervical Lymph Nodes ◽  
The United Kingdom ◽  
Upper Respiratory ◽  
Tract Infections

Acute upper respiratory tract infections (URTIs) are the commonest reason for patients to seek medical advice in the United Kingdom. Pharyngitis/tonsillitis—this is caused by both bacterial and viral organisms, with sore throat often accompanied by fever, headache, and other symptoms, with or without enlarged and tender cervical lymph nodes, tonsillar erythema, and exudate. Investigations are not generally performed or required. Antibiotics have modest benefit, so for patients who are not unwell systemically the physician should either not prescribe, or use a delayed prescribing approach, advising the patient to wait for several days before collecting or using their prescription. The antibiotic of choice is probably penicillin V, with a short acting macrolide the second-line agent. The benefits of tonsillectomy in preventing recurrent sore throat are modest....

Endoscopic Examination of Equine Upper Respiratory Tract by Computed Image Analysis

2003 ◽  
Vol 27 ◽  
pp. 749-753 ◽  
Author(s):  
D. Fava ◽  
G. Bitelli ◽  
M. Cappi ◽  
A. Diana ◽  
M. Pietra ◽  
...  
Keyword(s):  
Image Analysis ◽  
Respiratory Tract ◽  
Endoscopic Examination ◽  
Upper Respiratory Tract ◽  
Upper Respiratory

scholarly journals Acute respiratory viral infections in children

2019 ◽  
Vol 23 (3) ◽  
pp. 19-22
Author(s):  
Irina E. Moiseeva
Keyword(s):  
Respiratory Tract ◽  
General Condition ◽  
Viral Infections ◽  
Clinical Manifestations ◽  
Symptomatic Therapy ◽  
Upper Respiratory Tract ◽  
Child Morbidity ◽  
Upper Respiratory ◽  
Respiratory Viral Infections ◽  
Instrumental Methods

Acute respiratory viral infections in children lead in the structure of child morbidity. The defeat of the upper respiratory tract accompanied by fever and impaired general condition, the main symptoms of acute respiratory viral infections. Diagnosis of most acute respiratory viral infections is based on the assessment of clinical manifestations and does not require the use of specific laboratory and instrumental methods. Modern approaches to treatment are timely and adequate symptomatic therapy.

EFFECTS OF PENICILLIN AND BROAD-SPECTRUM ANTIBIOTICS ON THE EMERGENCE OF A GRAM-NEGATIVE BACILLARY FLORA IN THE UPPER RESPIRATORY TRACT OF INFANTS

PEDIATRICS ◽  
1952 ◽  
Vol 9 (5) ◽  
pp. 572-576
Author(s):  
ROBERT S. MCCURDY ◽  
ERWIN NETER
Keyword(s):  
Respiratory Tract ◽  
Broad Spectrum ◽  
Clinical Manifestations ◽  
Upper Respiratory Tract ◽  
Broad Spectrum Antibiotic ◽  
Gram Negative ◽  
E Coli ◽  
Broad Spectrum Antibiotics ◽  
Upper Respiratory ◽  
Aerobic Flora

A study was undertaken on 107 infants to determine the effect of penicillin and broad-spectrum antibiotics (aureomycin, chloromycetin and terramycin), alone and in combination, on the emergence of a predominant gram-negative, bacillary flora of the upper respiratory tract. The following data were obtained: 1. Such a change of the flora took place in 4 out of 12 patients treated with penicillin, 15 out of 22 treated with penicillin and a broad-spectrum antibiotic, and in only 4 out of 21 infants who received a broad-spectrum antibiotic exclusively. 2. Of the 32 cases whose flora had thus changed, members of the E. coli-A. aerogenes group were found in 30 instances, members of the genus Proteus in 3; Ps. aeruginosa in 2; Paracolobactrum in 1; and combinations thereof in four cases. 3. This change of the flora took place in 18 out of 71 infants suffering from respiratory infection and in 14 out of 36 children suffering from other diseases. 4. Reappearance of clinical manifestations was observed in 6 out of 19 patients whose respiratory tract flora changed following the use of penicillin and in none of the four individuals who were treated with a broad-spectrum antibiotic alone. In view of the small number of cases this observation requires confirmation. 5. It is concluded that in infants the use of penicillin used in conjunction with a broad-spectrum antibiotic is followed rather frequently by the emergence in the upper respiratory tract of a predominant gram-negative, bacillary, aerobic flora; such a change occurs less frequently after the use of a broad-spectrum antibiotic alone. The clinical significance of these data is discussed.

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