Template:Pediatric stridor DDX: Difference between revisions
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**Usually exacerbated by viral URI | **Usually exacerbated by viral URI | ||
**Dx w/ flexible fiberoptic laryngoscopy | **Dx w/ flexible fiberoptic laryngoscopy | ||
*Vocal cord paralysis | *Vocal cord paralysis | ||
**Stridor associated w/ feeding problems, hoarse voice, weak and/or changing cry | |||
**May have cyanosis or apnea if bilateral (less common) | |||
*[[Subglottic stenosis]] (previous intubation) | *[[Subglottic stenosis]] (previous intubation) | ||
*Airway hemangioma (usually regresses by age 5) | *Airway hemangioma (usually regresses by age 5) | ||
Revision as of 16:52, 23 June 2019
Pediatric stridor
- A minimal amount of edema or inflammation in the pediatric airway can result in significant obstruction
- Can lead to rapid decompensation
<6mo
- Laryngotracheomalacia
- Accounts for 60%
- Usually exacerbated by viral URI
- Dx w/ flexible fiberoptic laryngoscopy
- Vocal cord paralysis
- Stridor associated w/ feeding problems, hoarse voice, weak and/or changing cry
- May have cyanosis or apnea if bilateral (less common)
- Subglottic stenosis (previous intubation)
- Airway hemangioma (usually regresses by age 5)
- Vascular ring/sling
>6mo
- Croup
- Epiglottitis
- Bacterial tracheitis
- Foreign body (sudden onset)
- Retropharyngeal abscess (muffled voice, fever)