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November 2007, Volume 37 Number 11 , p 24 - 25


  • Christy M. Smith APRN, BC
  • David R. White MD


Smith, Christy M. APRN, BC; White, David R. MD

Christy M. Smith is an online nursing instructor for the University of Phoenix (Ariz.) and a doctoral student at the Medical University of South Carolina in Charleston, where David R. White is an assistant professor of pediatric otolaryngology.

MEREDITH COOPER, 2, was referred to an otolaryngologist (or ear, nose, and throat [ENT] specialist) because of her parents' growing concern about her raspy voice. Her mom says that Meredith's voice has always sounded hoarse, and her dad thinks that it's gotten worse over the last 2 months. Both parents agree that Meredith's voice is worse in the morning and slowly improves throughout the day, as long as she hasn't been yelling or screaming. Her parents explain that Meredith has always been a loud child who frequently squeals or screams when she's excited or angry.

Because of Meredith's tendency to ...

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