Stridor (peds): Difference between revisions

No edit summary
No edit summary
Line 1: Line 1:
==Diagnosis==
==Diagnosis==
#Supraglotic Expiratory Gurgling
#Glottic Biphasic (larynx-vocal cords)
#Subglottic Inspiratory High-pitched


==DDX==
==DDX==
# Supraglottic
#<6mo
## Congenital
##Laryngotracheomalacia
### Pierre Robin sy
##Vocal cord paralysis (weak cry)
### Treacher Collins sy
##Subglottic stenosis (previous intubation)
### Macroglossia
##Airway hemangioma
### Down sy
##Vascular ring/sling
### Storage dz
#>6mo
### Choanal atresia
##Croup
### Lingual thyroid
##Epiglottitis
### Thyroglossal cyst
##Bacterial tracheitis
### Adenopathy
##Foreign body (sudden onset, asymmetric)
## Acquired
##Retropharyngeal abscess (muffled voice, fever)
### Tonsillar hypertorphy - uncommon at birth; associated with snoring or sleep related
 
### Foreign body
### Pharyngeal abcess - older age, muffled voice, fever, etc.
### Epiglottitis
# Glottic
## Congenital
### Laryngomalacia
### Vocal cord paralysis - weak cry
### Laryngeal web
### Laryngocele
## Aquired
### Papillomas
### Foreign body
# Subglotic
## Congenital
### Tracheomalacia
### Trachal stenosis
### Vascular ring
### Hemangioma cyst
## Aquired
### Croup
### Bacterial tracheitis
### Subglottic stenosis - previous endotracheal intubation; worsens with infections; often requires surgical repair
### Foreign body - sudden onset; asymmetric PE or CXR


==Source==
==Source==
5/2/06 DONALDSON (adapted from Rosen)
Tintinalli


[[Category:Peds]]
[[Category:Peds]]
[[Category:ENT]]
[[Category:ENT]]

Revision as of 04:53, 22 June 2011

Diagnosis

DDX

  1. <6mo
    1. Laryngotracheomalacia
    2. Vocal cord paralysis (weak cry)
    3. Subglottic stenosis (previous intubation)
    4. Airway hemangioma
    5. Vascular ring/sling
  2. >6mo
    1. Croup
    2. Epiglottitis
    3. Bacterial tracheitis
    4. Foreign body (sudden onset, asymmetric)
    5. Retropharyngeal abscess (muffled voice, fever)


Source

Tintinalli