Difference between revisions of "Template:Pediatric stridor DDX"

(<6mo)
(<6mo)
Line 8: Line 8:
 
**Usually exacerbated by viral URI
 
**Usually exacerbated by viral URI
 
**Dx w/ flexible fiberoptic laryngoscopy
 
**Dx w/ flexible fiberoptic laryngoscopy
*Vocal cord paralysis (weak cry)
+
*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