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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
Belly Pain Air Leaks From Lungs Acute Crying Back Pain Bed Wetting Big Lymph Node Big Spleen Blood in Urine Chronic Diarrhea Chest Pain Cough Coughing Up Blood Constipation Droopy Eye Enlarged Glands Eye Swelling Excessive Thrist Facial Paralysis Fainting Spell Feeding Problem GI Bleeding Headache Head Tilt Hives High ESR Hoarseness Joint Pain Limp Leg Pain Muscle Weakness Noisy Breathing Nose Bleeding Nose Obstruction Pyuria Recurrent Infection Red Green Urine Ringing in the Ears Scrotal Swelling Seizures Stiff Neck Swelling of the Parotic Gland Toe Walking Toeing In Toeing Out Unequal Pupils Vomiting Wheezing
Leo Leonidas, MD, FAAP Assistant Clinical Professor in Pediatrics Tufts University School of Medicine, Boston Attending Pediatrician Eastern Maine Medical Center, Bangor
BANGOR, MAINE: “First City with EBPP (Evidence Based Pediatrics for Parents) Website”
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