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Related Experiment Videos

The child with simultaneous stridor and wheezing.

S R Poole1, R D Mauro, L L Fan

  • 1Division of Ambulatory Care, University of Colorado School of Medicine, Children's Hospital of Denver 80218.

Pediatric Emergency Care
|March 1, 1990
PubMed
Summary

Diagnosing simultaneous stridor and wheezing in children can be challenging. Plain x-rays and imaging like barium swallows are crucial for locating airway obstruction caused by congenital, foreign body, or acquired lesions.

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Area of Science:

  • Pediatric Pulmonology
  • Pediatric Otolaryngology
  • Pediatric Radiology

Background:

  • Simultaneous stridor and wheezing in children often indicate complex airway issues.
  • Distinguishing between extrathoracic and intrathoracic causes is critical for diagnosis and management.
  • A single or combined airway lesion can present with these symptoms.

Purpose of the Study:

  • To analyze the causes and diagnostic methods for simultaneous stridor and wheezing in pediatric patients.
  • To evaluate the effectiveness of various imaging techniques in localizing airway obstructions.

Main Methods:

  • Retrospective review of 25 pediatric patients with simultaneous stridor and wheezing.
  • Inclusion of cases from a children's hospital emergency department and literature review.

Related Experiment Videos

  • Analysis of diagnostic modalities including plain radiography, barium swallow, and endoscopy.

    • Main Results:

    • Nineteen patients had single airway lesions (9 extrathoracic, 10 intrathoracic); 6 had combined lesions.
    • Common causes included congenital lesions (n=8), foreign bodies (n=9), and acquired lesions (n=2).
    • Radiography successfully located obstruction in 18 of 25 patients; barium swallow identified vascular rings.

    Conclusions:

    • Simultaneous stridor and wheezing necessitate a thorough diagnostic approach.
    • Imaging, particularly plain x-rays, plays a vital role in identifying the site of airway obstruction.
    • Recommendations for the evaluation of pediatric patients with these symptoms are provided.