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UPPER RESPIRATORY TRACT DISEASES (STRIDOR,CROUP AND EPIGLOTTITIS,FOREIGN BODY ASPIRATION)

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STRIDOR

 

Common Causes of Stridor

 

  1. lumen: foreign body, hypertrophic tonsils or adenoids
  2. respiratory wall: croup, epiglottitis, bacterial tracheitis, post-intubation edema/trauma, tracheomalacia, subglottic stenosis
  3. surrounding structures: retropharyngeal or peritonsillar abscess, neoplasm, vascular ring

 

CROUP AND EPIGLOTTITIS

 

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FOREIGN BODY ASPIRATION

 

  1. acute: sudden onset of choking, stridor, wheezing, cough, respiratory distress
  2. chronic: persistent, localized atelectasis in lung; recurrent pneumonia

Diagnosis

 

  1. history: choking spell (recent or remote)
  2. chest x-ray: bilateral decubitus films may show air trapping, foreign body, or segmental collapse
  3. bronchoscopy: visualize obstruction

Management

 

  1. complete obstruction: Heimlich maneuver or alternating back blows and chest thrusts for infants < 1 year old
  2. if unable to expel foreign body: direct laryngoscopy and removal, intubation or emergency tracheotomy
UPPER RESPIRATORY TRACT DISEASES (STRIDOR,CROUP AND EPIGLOTTITIS,FOREIGN BODY ASPIRATION) UPPER RESPIRATORY TRACT DISEASES (STRIDOR,CROUP AND EPIGLOTTITIS,FOREIGN BODY ASPIRATION) Reviewed by Radiology Madeeasy on October 05, 2010 Rating: 5
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