Head and Neck Q13

A 47-year-old lawyer presents to the GP complaining of a persistent hoarse voice for 1 month. She has not been able to rest her voice due to the nature of her work. She denies any dysphagia or odynophagia. She reports feeling quite tired and may have lost some weight over the past few months. Past surgical history of hemithyroidectomy 10 years ago for a suspicious thyroid nodule. Histology showed that it was not malignant. She does not smoke and only drinks occasionally. Observations and examination findings are unremarkable

Which of the following is the best next step in the management of this patient?

  • A) Routine referral to ENT outpatient clinic
  • B) Reassure and send home with corticosteroids
  • C) Reassure and send home
  • D) Urgent referral to ENT outpatient clinic
  • E) Send to hospital immediately