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Virtual Pediatric Hospital: Paediapaedia: Approach to Stridor

Paediapaedia: Chest Clinical and Radiographic Presentations, DDX, Approach to Imaging

Approach to Stridor

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


DDX:

Approach/Discussion:
AP and lateral plain films of the airway are the preferred imaging modality.

The AP film in croup will reveal the characteristic steeple sign, due to subglottic edema.

The lateral film in epiglottitis will reveal the characteristically thickened epiglottis and aryepiglottic folds. Subglottic edema may also be present.

References:
See References Chapter.

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