Template:Pediatric stridor DDX: Difference between revisions
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====>6mo==== | ====>6mo==== | ||
*[[Croup]] | *[[Croup]] | ||
**viral laryngotracheobronchitis | |||
**6 mo- 3 yr, peaks at 2 yrs | |||
**Most severe on 3rd-4th day of illness | |||
**Steeple sign not reliable- diagnose clinically | |||
*[[Epiglottitis]] | *[[Epiglottitis]] | ||
*[[Bacterial tracheitis]] | *[[Bacterial tracheitis]] | ||
*[[Foreign body]] (sudden onset) | *[[Foreign body]] (sudden onset) | ||
*[[Retropharyngeal abscess]] (muffled voice, fever) | *[[Retropharyngeal abscess]] (muffled voice, fever) | ||
Revision as of 16:58, 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
- Congenital vs 2/2 prolonged intubation in premies
- Airway hemangioma
- Usually regresses by age 5
- Associated w/ skin hemangiomas in beard distribution
- Vascular ring/sling
>6mo
- Croup
- viral laryngotracheobronchitis
- 6 mo- 3 yr, peaks at 2 yrs
- Most severe on 3rd-4th day of illness
- Steeple sign not reliable- diagnose clinically
- Epiglottitis
- Bacterial tracheitis
- Foreign body (sudden onset)
- Retropharyngeal abscess (muffled voice, fever)