wheeze and stridor overv Flashcards
cc of “ wheezing”/
frame to recall/step 2
frame= anatomic
cc of “ wheezing”/
step 2/ stridor/anatomy
Nasopharynx and oropharynx,
Laryngopharynx and larynx
/Trachea
/Proximal airways
hint: structures r too big (hypertrophy) or inflammed (too big) or/and have pus= abscesse
cc of “ wheezing”/
step 2/ wheezing/anatomy
Proximal airways: Bronchitis/
Distal airways:
Asthma
Chronic obstructive pulmonary disease (COPD)
Bronchiectasis/
HF (wet lung)
wheezing or stridor/
important pivotal points
1) is it wheezing (expiratory) or stridor (inspiratory)
2) acute or chronic
wheezing or stridor/
important pivotal point/
acute/stridor/
consider../ emergency?
foreign object aspiration
/inhalation injury
/angioedema./ anaphylaxis/
infection /
emergency!!immediate consultation for airway management usually including ENT or anesthesia consultation!!!
Hint: object, allergy, infection hint:
stridor is about pb w inspiration bec somthing came INside
wheezing or stridor
/ important pivotal point/
acute/wheezing/
consider
acute:
trauma, “accident“aspiration
infectious causes (URI, bionchitis),
lung: asthma/
heart: HF,
hint: hoT vIntageS
hint: acute lung wheezing== lung siffler comme un ballon qui se degongle =expiration, push the dominos which fall on the
- trauma: fall on the rose and punch the lung avec l’epine
- “accident”aspiration: fall on the rod which is aspirated in the lungs
- infectious causes (URI, bionchitis): really large dominos==god rain of germs causing infections
- lung: asthma/ fall on a gay ram => ram mad but au lieu de charger=take the inhaler and perfume himself
- heart: HF: domino fall on the rear heart et le fait tomber
wheezing or stridor/
episodic intermittent wheezing/
leading hypothesis
Asthma
wheezing or stridor/
episodic intermittent wheezing
/ALTERNATIVE dx+
must not miss
alt dx: Allergic rhinitis
Vocal cord dysfxn
/Must Not Miss=COPD
hint: episodic/intermittent wheezing: on/off/etiology= domino fait osciller la
40. allergic rhinitis: rose in front of a nose qui eternue on/off
41 vocal cord dysfxn= rod=big penis ki va et vient dans la bouche=> a la fin u can’t talk
emergency= press on red button of the fire men=> light and sound
28-90= firemen (FD) r cutting w a vase coPD
wheezing or stridor/
EPISODIC attacks of respiratory distress accompanied by wheezing or stridor or both + no resp to bronchiodilator/
leading hypothesis
Paradoxical vocal cord movement
hint: no response to BRONCHOdilator=>it’s in the airway but not as low
hint: on/off respiratory distress (international sign of choking)+deflating ballon+ no inhaler= perfum works/ domino up n down
40- rose qui entre et sort de la corde vocal
wheezing or stridor/
episodic attacks of respiratory distress accompanied by wheezing or stridor or both + no resp to bronchiodilator/
active alternative+
must not miss
Paradoxical vocal cord movement
wheezing or stridor/episodic intermittent wheezing/
asthma and … have similar presentation
Paradoxical vocal cord movement