Question of the Week

Question :
Posted On : 24 Sep 2023
I have a 9 months male infant who presented to my clinic first time at 9 months complaining of noisy breathing since birth According to his mother, o, e wheezing bilateral, is not distressed and has no desaturation, I treated him with Ventolin nebulizer and a short course of steroids, with no improvement, otherwise unremarkable examination. CXR—normal. So I m thinking about happy wheezer baby or something like this, How to management and a plan for this case?
5
Expert Answer :
Rule out laryngotracheomalacia
Answer Discussion :
D
DrZohdi Alhanouty
Profile
As I understood, you said bilateral wheezing, not strider , which is against laryngomalacia. Wheezing is a sign of lower respiratory tract obstruction.while strider is upper.
8 months ago
D
DrZohdi Alhanouty
Profile
CT angiogram to rule out vascular ring. If normal proceed to bronchoscopy.
8 months ago
A
Amani Baldo
Profile
reassure and follow
8 months ago
A
abdo farea
Profile
no need treatment
8 months ago
A
abdalatif ragab
Profile
ENT exam, echpcardiograhy, exclude cow milk allergy.
9 months ago




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