Difference between revisions of "Template:Pediatric stridor DDX"

(<6mo)
(<6mo)
Line 11: Line 11:
 
**Stridor associated w/ feeding problems, hoarse voice, weak and/or changing cry
 
**Stridor associated w/ feeding problems, hoarse voice, weak and/or changing cry
 
**May have cyanosis or apnea if bilateral (less common)
 
**May have cyanosis or apnea if bilateral (less common)
*[[Subglottic stenosis]] (previous intubation)
+
*[[Subglottic stenosis]]  
*Airway hemangioma (usually regresses by age 5)
+
**Congenital vs 2/2 prolonged intubation in premies
 +
*Airway hemangioma usually regresses by age 5
 
*[[Vascular ring]]/sling
 
*[[Vascular ring]]/sling
  

Revision as of 16:54, 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
  • Vascular ring/sling

>6mo