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A 35-year-old teacher presents with 4 days of hoarseness, dry cough, and mild throat discomfort. She denies fever, dysphagia, or shortness of breath. Exam shows mild erythema of the larynx and vocal cords. No lymphadenopathy is noted. What is the evidence-based stepwise approach to diagnosing and managing acute laryngitis in adults?
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Recognize viral etiology as most common cause
Take detailed history of voice use, recent URI symptoms
Perform laryngoscopy if symptoms persist >3 weeks
Reassure and recommend voice rest
Avoid whispering and vocal strain
Advise supportive care (hydration, humidifier, NSAIDs)
Do not prescribe antibiotics unless secondary bacterial infection is suspected
Refer to ENT for persistent hoarseness or red flags
Educate on avoiding throat clearing, smoking, irritants
Reevaluate if symptoms worsen or new findings appear
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1
Take detailed history of voice use, recent URI symptoms
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2
Recognize viral etiology as most common cause
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3
Reassure and recommend voice rest
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4
Avoid whispering and vocal strain
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5
Advise supportive care (hydration, humidifier, NSAIDs)
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6
Do not prescribe antibiotics unless secondary bacterial infection is suspected
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7
Educate on avoiding throat clearing, smoking, irritants
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8
Reevaluate if symptoms worsen or new findings appear
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9
Perform laryngoscopy if symptoms persist >3 weeks
media1
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10
Refer to ENT for persistent hoarseness or red flags
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Laryngitis
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