ENT

Question 1

laryngomalacia

Answer 1

• most common cause of congenital stridor
• collapse of the supraglottic structures during INSP leading to obstruction
• present at 4-6wks with stridor, peaking at 6-8m
• associated with reflux and feeding difficulties

Question 2

differential for stidor

Answer 2

croup
hypocalcemia
FBO
reflux ( burning of larynx) 
resp papillomatosis
laryngomalacia

Question 3

tracheomalacia

Answer 3

• some of the cartilaginous songs don’t form
• causing obstruction during EXP due to rise in intrathoracic pressure
• present at 4-8wk wheezing
• emergency tx CPAP

Question 4

croup

Answer 4

typically viral
common in 6m-5yrs
acute laryngothrachiobronchitis
ISP stridor “seal bark”

• O2, dexamethasone Q6h, neb epi (if refractory to epi, or effects last less than 1hr = ICU)
• if intubating, 0.5 smaller

Question 5

epiglottitis

Answer 5

bacterial supraglottic infection
drooling no cough (pain)
ABX