Template:Pediatric stridor DDX: Difference between revisions
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===[[Stridor (Peds)|Pediatric stridor]]=== | ===[[Stridor (Peds)|Pediatric stridor]]=== | ||
''A minimal amount of edema or inflammation in the pediatric airway can result in significant obstruction and can lead to rapid decompensation'' | |||
===<6mo=== | ===<6mo=== | ||
Revision as of 16:23, 1 July 2020
Pediatric stridor
A minimal amount of edema or inflammation in the pediatric airway can result in significant obstruction and 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
- H flu type B
- Have higher suspicion in unvaccinated children
- Rapid onset sore throat, fever, drooling
- Difficult airway- call anesthesia/ ENT early
- H flu type B
- Bacterial tracheitis
- Rare but causes life-threatening obstruction
- Sx of croup + toxic-appearing = bacterial tracheitis
- Foreign body (sudden onset)
- Marked variation in quality or pattern of stridor
- Retropharyngeal abscess
- Fever, neck pain, dysphagia, muffled voice, drooling, neck stiffness/torticollis/extension