Stridor (peds): Difference between revisions

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==Diagnosis==
#Supraglotic Expiratory Gurgling
#Glottic Biphasic (larynx-vocal cords)
#Subglottic Inspiratory High-pitched
==DDX==
==DDX==
 
# Supraglottic
 
## Congenital
Supraglotic Expiratory Gurgling
### Pierre Robin sy
 
### Treacher Collins sy
Glottic Biphasic (larynx-vocal cords)
### Macroglossia
 
### Down sy
Subglottic Inspiratory High-pitched
### Storage dz
 
### Choanal atresia
### Lingual thyroid
 
### Thyroglossal cyst
I. Supraglottic
### Adenopathy
 
## Acquired
    A. Congenital
### Tonsillar hypertorphy - uncommon at birth; associated with snoring or sleep related
 
### Foreign body
          1. Pierre Robin sy
### Pharyngeal abcess - older age, muffled voice, fever, etc.
 
### Epiglottitis
          2. Treacher Collins sy
# Glottic
 
## Congenital
          3. Macroglossia
### Laryngomalacia
 
### Vocal cord paralysis - weak cry
          4. Down sy
### Laryngeal web
 
### Laryngocele
          5. Storage dz
## Aquired
 
### Papillomas
          6. Choanal atresia
### Foreign body
 
# Subglotic
          7. Lingual thyroid
## Congenital
 
### Tracheomalacia
          8. Thyroglossal cyst
### Trachal stenosis
 
### Vascular ring
          9. Adenopathy
### Hemangioma cyst
 
## Aquired
    B. Acquired
### Croup
 
### Bacterial tracheitis
          1. Tonsillar hypertorphy - uncommon at birth; associated with snoring or sleep related
### Subglottic stenosis - previous endotracheal intubation; worsens with infections; often requires surgical repair
 
### Foreign body - sudden onset; asymmetric PE or CXR
          2. Foreign body
 
          3. Pharyngeal abcess - older age, muffled voice, fever, etc.
 
          4. Epiglottitis
 
II. Glottic
 
    A. Congenital
 
          1. Laryngomalacia
 
          2. Vocal cord paralysis - weak cry
 
          3. Laryngeal web
 
          4. Laryngocele
 
    B. Aquired
 
          1. Papillomas
 
          2. Foreign body
 
III. Subglotic
 
    A. Congenital
 
          1. Tracheomalacia
 
          2. Trachal stenosis
 
          3. Vascular ring
 
          4. Hemangioma cyst
 
    B. Aquired
 
          1. Croup
 
          2. Bacterial tracheitis
 
          3. Subglottic stenosis - previous endotracheal intubation; worsens with infections; often requires surgical repair
 
          4. Foreign body - sudden onset; asymmetric PE or CXR
 


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


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

Revision as of 02:58, 9 June 2011

Diagnosis

  1. Supraglotic Expiratory Gurgling
  2. Glottic Biphasic (larynx-vocal cords)
  3. Subglottic Inspiratory High-pitched

DDX

  1. Supraglottic
    1. Congenital
      1. Pierre Robin sy
      2. Treacher Collins sy
      3. Macroglossia
      4. Down sy
      5. Storage dz
      6. Choanal atresia
      7. Lingual thyroid
      8. Thyroglossal cyst
      9. Adenopathy
    2. Acquired
      1. Tonsillar hypertorphy - uncommon at birth; associated with snoring or sleep related
      2. Foreign body
      3. Pharyngeal abcess - older age, muffled voice, fever, etc.
      4. Epiglottitis
  2. Glottic
    1. Congenital
      1. Laryngomalacia
      2. Vocal cord paralysis - weak cry
      3. Laryngeal web
      4. Laryngocele
    2. Aquired
      1. Papillomas
      2. Foreign body
  3. Subglotic
    1. Congenital
      1. Tracheomalacia
      2. Trachal stenosis
      3. Vascular ring
      4. Hemangioma cyst
    2. Aquired
      1. Croup
      2. Bacterial tracheitis
      3. Subglottic stenosis - previous endotracheal intubation; worsens with infections; often requires surgical repair
      4. Foreign body - sudden onset; asymmetric PE or CXR

Source

5/2/06 DONALDSON (adapted from Rosen)

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