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afya
Hoarseness
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> ''Causes of hoarseness'' voice overuse smoking viral illness hypothyroidism gastro-oesophageal reflux laryngeal cancer lung cancer ''NICE guidelines'' urgent CXR if hoarseness > 3 weeks esp smokers, >50y, heavy drinkers if there is a positive finding on chest x-ray, refer urgently to a team specialising in the management of lung cancer if the chest x-ray is normal, refer urgently to a team specialising in head and neck cancer
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