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Noisy Breathing

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Noisy Breathing called Stridor


Leo Leonidas MD, FAAP

WARNING, WARNING, WARNING; This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis listing.

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CAUSES OF NOISY BREATHING (STRIDOR)

Stridor, or loud crowing inspiratory breathing, is an indication of potentially serious airway obstruction. This sign demands immediate attention and fast diagnosis and treatment.

ACUTE CAUSES

Epiglottitis
Tracheitis bacterial
Peritonsilar abscess
Retropharyngeal abscess
Esophageal foreign body
Supraglottitis
Laryngotracheitis
Foreign Body aspiration
Hypocalcemic tetany
Spasmodic Croup
Trauma
Angioneurotic edema
Ingestion of corrosives
Diphtheria
Laryngeal aplasia
Laryngeal Candidiasis
Psychogenic

CHRONIC CAUSES OF STRIDOR

Vascular Ring or Aberrant Vessels
Hyperthrophied Tonsils
Aberrant Thyroid
Mediastinal Cyst or Teratoma
Rheumatoid Arthritis
Laryngeal Web
Broncheal or Esophageal Cyst
Internal Laryngocele
Hemantiomas
Congenital Laryngeal Stridor
Floppy Epiglottis (Omega Shaped Epiglottis)
Subglottic Stenosis
Laryngeal Paralysis
Micrognathia
Abnormal Arhtenoid Function
Laryngeal Papillomas
Chronic Laryngeal Stenosis
Tracheal Stenosis
External Compression
Macroglossia
Farber Disease
Coccidioidmycosis
Opitz-Frias Syndrome
Marhall-Smith Syndrome
Laryngotracheoesophageal Cleft


REFERENCE:
Signs & Symptoms In Pediatrics
2nd Edition, page 298
Tunnessen, Jr

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Leo Leonidas, MD, FAAP
Assistant Clinical Professor in Pediatrics
Tufts University School of Medicine, Boston
Attending Pediatrician
Eastern Maine Medical Center, Bangor

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