Stridor -- history taking.

Introduction:

Questions to be asked:

When did it start? Suddenly -- foreign body;
from birth -- tracheomalacia.

History of choking? (foreign body)

Drooling of saliva?

Associated with cyanosis or breathlessness?

Associated with fever? (croup and epiglottitis)

Cough? Barking cough? (croup); no cough (epiglottitis)

Is it worse at night? (croup)

Immunizations (HiB)

DD: Croup, Epiglottitis, foreign body inhalation, tracheo malacia.

Other causes of stridor:

Tumours (papilloma or haemangioma)

External compression from mediastinal tumours.

Neurological conditions (vagal or recurrent laryngeal nerve paralysis)

Laryngeal trauma.

Laryngeal oedema (burns and smoke inhalation).

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