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
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