STRIDOR vs wheeze vs grunting vs groan
grunting = breathing against closed glottic
groan = more prolonged
wheeze = musical expiratory
Acute vs chronic
ACUTE STRIDOR
larygotracheobrachitis
acute epiglottis
choking
bacterial tracheitis
anaphylaxis
CHRONIC STRIDOR
Congenital laryngeal stridor (laryngomalaecia) - when surgery?
other causes
INSPIRATORY VS EXPIRATORY VS BIPHASIC
Other investigations for chronic stridor
Bronchoscopy
Echocardiogram + chest CT
How to manage anaphylaxis in the child?
How to nebulise with adrenaline?
PRINCIPLES OF COMMUNICATION?
Introduction
Invitation
WItness
Knowledge so far
Assurance + Empathy
Facts based approach
Plan
Any questions?
Thank you
PRINCIPLES OF MANAGEMENT OF CHRONIC PROBLEMS
A+B+C
Multidiscliplinarian approach
Nutrition + Hydration/fluid intake
Co-morbidities? investigations?
Symptomatic treatment