Friday, July 7, 2017

Differential Diagnosis Of Stridor In Children



Definition of Stridor

Stridor is a harsh, high pitched respiratory sound produced by turbulent airflow that is usually inspiratory but may be biphasic; it is a sign of upper air way obstruction.

Stridor is commonly seen in sick children and is due to a number of different cause. A list of differential diagnosis of stridor is given here:

Infectious Causes

  • Acute laryngotracheobronchitis
  • Epiglottitis
  • Pharyngitis
  • Parapharyngeal abscess
  • Bacterial tracheitis
  • Laryngopharyngeal diptheria
  • Laryngeal papillomatosis
  • Extrinsic inflammatory mass compressing the trachea (e.g tuberculosis)
Non Infectious Conditions
  • Foreign body aspiration
  • Angioneurotic edema
  • Spasmodic croup
  • Ingestion of caustic or hot fluid
  • Trauma, smoke inhalation
  • Laryngomalacia
  • Congenital subglottic stenosis
  • Extrinsic mass compressing the trachea ( cystic hygroma, hemangioma, vascular malformation)
  • Hypocalcemia
  • Vocal cord paralysis
This list is vast and a complete history, physical examination and relevant laboratory tests help to differentiate different causes of stridor in children.

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