Diagnostic Dilemma - Pediatric Oncall
Inspiratory wheeze
Author: Pediatric Oncall
A 1½ years old boy presented with cough with noisy breathing for 2 days and breathlessness since the afternoon. There is no fever, foreign body ingestion. He had similar complaints 4-5 times last year and was treated with nebulization on OPD basis. There is no history of asthma or allergy in family. On looking at the child, he has prolonged inspiration with respiratory rate of 46, min with suprasternal retractions and intercostals retractions. On auscultation, he has a late inspiratory wheeze.
Answers of this discussion
Author :- drnaresh kumar on 02 August 2012.
Answer :- Laryngotracheobronchitis

Author :- raghu singh on 02 August 2012.

Author :- sree harsha on 03 August 2012.
Answer :- upper airway obstruction etiology 1.congenital subglottic stenosis laryngomalacia 2.vascular rings

Author :- enver yayac on 03 August 2012.

Author :- enver yayac on 03 August 2012.

Author :- BIBHU PRASAD NAYAK on 03 August 2012.
Answer :- walri asthma

Author :- Jose Samosc on 03 August 2012.
Answer :- Possible laryngomalacia {laringoscopy required} vs vascular rings.

Author :- SUWANSH MESHRAM on 04 August 2012.
Answer :- It could be a case of hyperactive airway disease or asthma. Patient should be started on Steroid therapy with metered dose inhaler with spacer

Author :- mona kasemc on 04 August 2012.
Answer :- spasmodic coup

Author :- mayuri gohain on 05 August 2012.
Answer :- congenital laryngomalacia

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