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An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Algorithm for the Diagnosis ... Compression: Malignancy, Mediastinal ... mass, Vascular ... #Noisy #Breathing ... #algorithm #pulmonary
Mediastinal Mass - Differential Diagnosis
Anterior Mediastinal Mass:
 • Thymus (Thymoma, carcinoma, hyperplasia, cyst)
 • Lymphoma
 •
Mediastinal Mass ... - Differential Diagnosis ... Mediastinal Mass ... Tumors • Vascular Mases ... #Diagnosis #pulmonary
Mediastinal Mass - Differential Diagnosis Framework

Anterior Mediastinal Mass - 5T’s
 • Thymic neoplasm
 • Teratoma (or
Mediastinal Mass ... • Middle Mediastinum ... Mediastinal Mass ... • Wheezing • Stridor ... #Diagnosis #causes
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
- Differential Diagnosis ... : Upper or middle ... Atelectasis, Nodule / mass ... • Masses: Anterior ... #Differential #Diagnosis
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Diagnosis Framework ... High-pitched, variable respiratory ... • Recurrent respiratory ... Hemangioma • Tracheal mass ... #causes #pulmonary
Differential Diagnosis of Wheezing
 • Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
Differential Diagnosis ... wheezing Is typically inspiratory ... , Mucus plugs, Mediastinal ... mass • Intrathoracic ... #Causes #pulmonary
The table on the left is the overall table for mediastinal masses.
In the next paragraphs we
overall table for mediastinal ... #Diagnosis #Pulmonary ... #Radiology #Mediastinal ... #Mass #Differential ... Table #Anterior #Middle