Stridor: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Trauma=== | ===Trauma=== | ||
*[[Neck Trauma|Larynx fracture]] | |||
*Tracheobronchial tear/injury | |||
*Thyroid gland injury/trauma | |||
*Trachea injury | |||
*Electromagnetic, Physics, trauma, [[Radiation_Exposure_(Disaster)*Treatment|Radiation Causes]] | |||
*[[Burns|Burns]], inhalation | |||
===Infectious Disorders=== | ===Infectious Disorders=== | ||
*Bacterial tracheitis | |||
*[[Diphtheria]] | |||
*Tetanus | |||
*Tracheobronchial [[Tuberculosis]] | |||
*Poliomyelitis, paralytic, bulbar | |||
*Poliomyelitis, acute | |||
*Fungal Laryngitis | |||
===Abscesses=== | ===Abscesses=== | ||
*Abscess, parapharyngeal | |||
*[[Epiglottitis]], acute | |||
*Peritonsillar abscess | |||
*Laryngotracheobronchitis, acute | |||
*[[Retropharyngeal Abscess]] | |||
===Neoplastic Disorders=== | ===Neoplastic Disorders=== | ||
*Neoplasms/tumors | |||
===Allergic and Auto-Immune Disorders=== | ===Allergic and Auto-Immune Disorders=== | ||
*[[Croup]], spasmodic/tracheobronchitis | |||
*[[Angioedema]]/Angioneurotic edema | |||
===Metabolic, Storage Disorders=== | ===Metabolic, Storage Disorders=== | ||
*Cerebral Gaucher's of infants (acute) | |||
*Tracheobronchial amyloidosis | |||
===Biochemical Disorders=== | ===Biochemical Disorders=== | ||
*Tetany | |||
===Congenital, Developmental Disorders=== | ===Congenital, Developmental Disorders=== | ||
*[[Angioedema]]/Angioneurotic edema, hereditary | |||
===Psychiatric Disorders=== | ===Psychiatric Disorders=== | ||
*Somatization disorder | |||
===Anatomical or Mecanical=== | ===Anatomical or Mecanical=== | ||
*Foreign Body Aspiration | |||
*Acute gastric acid/aspiration syndrome | |||
**Airway obstruction | |||
**Neck compartment hemorrhage/hematoma | |||
===Vegetative, Autonomic, Endocrine Disorders=== | ===Vegetative, Autonomic, Endocrine Disorders=== | ||
*Esophageal free reflux/GERD syndrome | |||
*Laryngospasm, acute | |||
**Bilateral vocal cord paralysis | |||
*Hypoparathyroidism | |||
===Poisoning=== | ===Poisoning=== | ||
**Smoke inhalation | |||
**[[Caustics|Chemical burn/esophagus]] | |||
==See Also== | ==See Also== | ||
[[Stridor (Peds)]] | [[Stridor (Peds)]] | ||
[[Category: | [[Category:Critical Care]] | ||
[[Category:ENT]] | [[Category:ENT]] | ||
Revision as of 18:51, 14 May 2015
Intial Work-Up
- Assess stability of airway
- If unstable, see Difficult Airway Algorithm, see Intubation and consider surgical intervention/consultation
- If stable consider imaging with video laryngoscope GEMC:Airway Procedures
- CT of neck can be considered if mass/infection suspected but not dynamic like laryngoscope
Differential Diagnosis
Trauma
- Larynx fracture
- Tracheobronchial tear/injury
- Thyroid gland injury/trauma
- Trachea injury
- Electromagnetic, Physics, trauma, Radiation Causes
- Burns, inhalation
Infectious Disorders
- Bacterial tracheitis
- Diphtheria
- Tetanus
- Tracheobronchial Tuberculosis
- Poliomyelitis, paralytic, bulbar
- Poliomyelitis, acute
- Fungal Laryngitis
Abscesses
- Abscess, parapharyngeal
- Epiglottitis, acute
- Peritonsillar abscess
- Laryngotracheobronchitis, acute
- Retropharyngeal Abscess
Neoplastic Disorders
- Neoplasms/tumors
Allergic and Auto-Immune Disorders
- Croup, spasmodic/tracheobronchitis
- Angioedema/Angioneurotic edema
Metabolic, Storage Disorders
- Cerebral Gaucher's of infants (acute)
- Tracheobronchial amyloidosis
Biochemical Disorders
- Tetany
Congenital, Developmental Disorders
- Angioedema/Angioneurotic edema, hereditary
Psychiatric Disorders
- Somatization disorder
Anatomical or Mecanical
- Foreign Body Aspiration
- Acute gastric acid/aspiration syndrome
- Airway obstruction
- Neck compartment hemorrhage/hematoma
Vegetative, Autonomic, Endocrine Disorders
- Esophageal free reflux/GERD syndrome
- Laryngospasm, acute
- Bilateral vocal cord paralysis
- Hypoparathyroidism
Poisoning
- Smoke inhalation
- Chemical burn/esophagus