Template:Pediatric stridor DDX: Difference between revisions

Revision as of 16:23, 1 July 2020

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

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
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

@@ Line 1: / Line 1: @@
 ===[[Stridor (Peds)|Pediatric stridor]]===
 ===<6mo===
 *[[Laryngotracheomalacia]]
-*Vocal cord paralysis (weak cry)
+**Accounts for 60%
-*[[Subglottic stenosis]] (previous intubation)
+**Usually exacerbated by viral URI
-*Airway hemangioma (usually regresses by age 5)
+**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
 *[[Bacterial tracheitis]]
+**Rare but causes life-threatening obstruction
+**Sx of croup + toxic-appearing = bacterial tracheitis
 *[[Foreign body]] (sudden onset)
-*[[Retropharyngeal abscess]] (muffled voice, fever)
+**Marked variation in quality or pattern of stridor
+*[[Retropharyngeal abscess]]
+**Fever, neck pain, dysphagia, muffled voice, drooling, neck stiffness/torticollis/extension