Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar abscess
 • Croup
 • Bacterial tracheitis
 • Laryngotracheobronchitis
 • Ludwig's angina

Trauma/Mechanical:
 • Larynx fracture
 • Burn inhalation
 • Tracheal injury
 • Caustic inhalation/ingestion
 • Foreign body

Allergic/Immune:
 • Anaphylaxis
 • Hereditary angioedema

Congenital/Acquired:
 • Laryngomalacia
 • Tracheomalacia
 • Vascular ring
 • Bronchogenic cyst
 • Hemangiomas
 • Vocal cord paralysis
 • Neoplasm
 • Subglottic stenosis
 • Recurrent respiratory papillomatosis

ETIOLOGIES BY LOCATION:
Extrathoracic: Pharynx/Supraglottis - Inspiratory Stridor:
 • Epiglottitis
 • Croup
 • Bacterial tracheitis
 • Retropharyngeal abscess
 • Peritonsillar abscess
 • Laryngomalacia
 • Congenital malformations
 • Anaphylaxis
 • Vocal cord paralysis

Intrathoracic: Thoracic trachea and bronchi - Expiratory Stridor:
 • Bacterial tracheitis
 • Tracheal stenosis
 • Anaphylaxis
 • Foreign body

Glottis, Subglottis, Cervical Trachea - Biphasic:
 • Foreign body
 • Hemangioma
 • Tracheal mass/tumor
 • Subglottic stenosis

#Stridor #differential #diagnosis #causes #pulmonary #airway #physicalexam
Ravi Singh K @rav7ks · 3 years ago
Academic Hospitalist and Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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