Upper airway obstruction Flashcards
1
Q
Foreign body aspiration
A
sudden onset stridor in previously health child
often gets lodged between vocal cords and cricoid cartilage
heimlich
refer to ENT specialist
2
Q
Acute onset stridor
A
inhaled FB epiglottitis bacterial tracheitis retropharygeal abscess paratracheal gland enlargement anaphylaxis trauma
3
Q
Croup - Laryngotracheobronchitis
A
URTI then barking cough, stridor, hoarseness 6-24 months early winter/autumn usually at night inflammation larynx, trachea, occasionally bronchi oedema and airway obstruction most common cause acute stridor parainfluenza steroids --> adrenalin news --> intubate
4
Q
Epiglottitis
A
Haemophilus Influenza
stridor less prominent - drooling
differential diagnosis for croup - toxically ill child
bends forward - tripod position
starts crying - obstruction can become complete
Rocephine IV
5
Q
Persistent Chronic Stridor
A
Laryngomalacia web cyst subglottic stenosis vascular compression laryngeal papillomatosis
6
Q
Laryngomalacia
A
after 14 days of age
stridor only on inspiration
typically when crying
obstruction improves when nursed prone position
mild - spontaneously resolve
moderate - severe
feeding difficulty, dyspnoea, tachypnoea, cyanosis,
apnoea, –> Refer ENT for evaluation
