Child with

stridor
Presented by Esra abd alhakim Egnaiber
By supervison of Dr. Shirin Alougly
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 Here is where you add your
talking points.
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Types of stridor
Interduction

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Mechanism of stridor Causes of stridor
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 What is the stridor? .

01
Is abnormal high pitched non musical sound
produced by turbulent air flow through a
partially obstructed airway at the level of
1. Supra glottis
2. Glottis
3. Sub glottis or trachea
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 Types of stridor :

1. Inspiratory stridor: airway obstruction at or above the

level of vocal cord supra glottic
2. Expiratory stridor : airway obstruction at the level of
trachea and bronchioles
3. Biphasic syridor : airway obstruction at the level of
glottic or subglottic
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 Mechanism of stridor :

An infant or child airway lumen is Can result in further narrowing or

naturally narrower /smaller than obstruction of the airway .
adult D/T this narrowing it cause
Therefor any minor reduction exponential in airway resistance
to.this airway diameter which makes it significantly
1. Inflammation difficult for the child to breath
2. Mucosal edema
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3. Foreign object
4. Collapsing epiglottis
 Sometimes it
only takes
one image...
...to tell the story.
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 Causes of
stridor:?
1. Congenital
2. Acquired :
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• Febril
• A febril
 Congenital:
1. Laryngomalacia (most commen)
2. Subglottic stenosis
3. Vocal cord paralysis
4. Laryngeal web
5. Vascular ring
6. Mediastinal.mass
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7. Thyroglossal cyst
8. Lymphadenopathy
 Acquired :
Febrile A Febrile

1. Croup laryngotracheobronchitis 1. Forign body inspiration

2. Epiglottits "rare"
2. Spasmodic croup
3. Bacterial tracheaitis
4. Retropharyngeul abscess 3. Angioneuratic edema
5. Peritonsillar abscess 4. Hypo calcemia
5. Allergic reaction or anaphylaxis
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 Spasmodic croup
● A type of croup that develops quickly .
● It occurs in children bt 1_3years
● Allergic in oigin "mainly"
not preceding with coryza the child wakes up suddenly in early hours
of the morning with brassy cough &noisy breathing
The symptoms improve within few hours
The course is generally benign &the patient recover completely
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