Simini Boards Cast

Chapter 101 - Part D: Diagnosing the Airway Problem: Evaluating the Larynx.

Simini Podcasts Season 1 Episode 142

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In this BoardsCast episode, we continue Tobias Chapter 101 — Larynx by deleting the most common diagnostic mistake in upper airway medicine:

You cannot diagnose the airway by listening to it.

Stridor is an alarm, not a diagnosis. The sound tells you there’s a restriction somewhere, but it cannot tell you what is mechanically failing. This episode rebuilds laryngeal evaluation into the only board-safe framework:

Laryngeal disease is diagnosed by watching the gate move.

You’ll learn:

  • Why noise is not anatomy (sound ≠ structure) 
  • The single question that matters: do the arytenoids abduct on inspiration?
  • Why the exam must be done under light anesthesia with spontaneous breathing
  • The biggest trap: too deep anesthesia can make a normal larynx look paralyzed (false positive) 
  • How paradoxical motion fools people (movement ≠ function; vacuum can “flap” a paralyzed larynx) 
  • When to use doxapram to force a clear answer — and why you must be ready to intubate 

Key takeaway: don’t diagnose from the hallway. Diagnose by visualizing the gate.

🎁 Simini Bonus

Claim your free sample of Simini Protect Lavage (just cover shipping):
https://www.simini.com/evaluation-kit

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