Virtual Pediatric Hospital: ElectricAirway: Upper Airway Problems in Children
ElectricAirway: Upper Airway Problems in Children: Croup Syndromes
Answer to 14
Donna M. Santer, M.D., Michael P. D'Alessandro, M.D.
Peer Review Status: Externally Peer Reviewed by Lauren D Holinger, MD, Robert J. Winter, MD and the AMA
The answer is D. This child has a classic presentation for congenital subglottic stenosis. The child may present at birth, in the neonatal period, or in the first few weeks or months of life. The physical examination may reveal stridor, dyspnea, hoarseness, and noisy breathing exacerbated by intermittent upper respiratory infections. The symptoms will improve when the URI improves; but generally, when the child is well the symptoms will not be completely resolved. In addition, the child will have a normal growth pattern and may have an unusual cry.
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