Difference between revisions of "Template:Pediatric stridor DDX"
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===[[Stridor (Peds)|Pediatric stridor]]=== | ===[[Stridor (Peds)|Pediatric stridor]]=== | ||
| + | |||
===<6mo=== | ===<6mo=== | ||
*[[Laryngotracheomalacia]] | *[[Laryngotracheomalacia]] | ||
| − | *Vocal cord paralysis | + | **Accounts for 60% |
| − | *[[Subglottic stenosis]] | + | **Usually exacerbated by viral URI |
| − | *Airway hemangioma | + | **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 | *[[Vascular ring]]/sling | ||
====>6mo==== | ====>6mo==== | ||
*[[Croup]] | *[[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]] | *[[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]] | *[[Bacterial tracheitis]] | ||
| − | *[[Foreign body]] (sudden onset | + | **Rare but causes life-threatening obstruction |
| − | *[[Retropharyngeal abscess]] | + | **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 | ||
Latest revision as of 16:23, 1 July 2020
Pediatric stridor
<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