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afya Hoarseness

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20160425222543 Ben  
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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