Epiglottitis x rays: Difference between revisions
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==Overview== | ==Overview== | ||
On [[Human anatomical terms#Anatomical directions|lateral]] soft tissue [[X-ray]] of the neck, the [[thumbprint sign]] a finding that suggests the diagnosis of epiglottitis is seen.<ref name="pmid21812674">{{cite journal| author=Grover C| title=Images in clinical medicine. "Thumb sign" of epiglottitis. | journal=N Engl J Med | year= 2011 | volume= 365 | issue= 5 | pages= 447 | pmid=21812674 | doi=10.1056/NEJMicm1009990 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21812674 }} </ref><ref name="pmid5798842">{{cite journal| author=Raj PP, Larard DG, Diba YT| title=Acute epiglottitis in children. A respiratory emergency. | journal=Br J Anaesth | year= 1969 | volume= 41 | issue= 7 | pages= 619-27 | pmid=5798842 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=5798842 }} </ref><ref name="pmid8124122">{{cite journal| author=Stuart MJ, Hodgetts TJ| title=Adult epiglottitis: prompt diagnosis saves lives. | journal=BMJ | year= 1994 | volume= 308 | issue= 6924 | pages= 329-30 | pmid=8124122 | doi= | pmc=2539273 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8124122 }} </ref> | |||
The thumbprint sign is a manifestation of swollen and edematous epiglottis. This shows as a hemispherical mass at the base of the tongue replacing the normal slender coma shape of the epiglottis.<ref name="pmid21297792">{{cite journal| author=Achong MR| title=Respiratory tract infections in adults. | journal=Can Fam Physician | year= 1979 | volume= 25 | issue= | pages= 1189-93 | pmid=21297792 | doi= | pmc=2383214 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21297792 }} </ref> | |||
==X Rays== | ==X Rays== | ||
===Lateral soft tissue X Ray of the neck=== | ===Lateral soft tissue X Ray of the neck=== | ||
On [[Human anatomical terms#Anatomical directions|lateral]] soft tissue [[X-ray]] of the neck, the [[thumbprint sign]] is | On [[Human anatomical terms#Anatomical directions|lateral]] soft tissue [[X-ray]] of the neck, the [[thumbprint sign]] is finding that suggests the diagnosis of epiglottitis is seen.<ref name="pmid21812674">{{cite journal| author=Grover C| title=Images in clinical medicine. "Thumb sign" of epiglottitis. | journal=N Engl J Med | year= 2011 | volume= 365 | issue= 5 | pages= 447 | pmid=21812674 | doi=10.1056/NEJMicm1009990 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21812674 }} </ref><ref name="pmid5798842">{{cite journal| author=Raj PP, Larard DG, Diba YT| title=Acute epiglottitis in children. A respiratory emergency. | journal=Br J Anaesth | year= 1969 | volume= 41 | issue= 7 | pages= 619-27 | pmid=5798842 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=5798842 }} </ref><ref name="pmid8124122">{{cite journal| author=Stuart MJ, Hodgetts TJ| title=Adult epiglottitis: prompt diagnosis saves lives. | journal=BMJ | year= 1994 | volume= 308 | issue= 6924 | pages= 329-30 | pmid=8124122 | doi= | pmc=2539273 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8124122 }} </ref> | ||
The thumbprint sign is a manifestation of swollen and edematous epiglottis. This shows as a hemispherical mass at the base of the tongue replacing the normal slender coma shape of the epiglottis as shown in the image below:<ref name="pmid21297792">{{cite journal| author=Achong MR| title=Respiratory tract infections in adults. | journal=Can Fam Physician | year= 1979 | volume= 25 | issue= | pages= 1189-93 | pmid=21297792 | doi= | pmc=2383214 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21297792 }} </ref> | The thumbprint sign is a manifestation of swollen and edematous epiglottis. This shows as a hemispherical mass at the base of the tongue replacing the normal slender coma shape of the epiglottis as shown in the image below:<ref name="pmid21297792">{{cite journal| author=Achong MR| title=Respiratory tract infections in adults. | journal=Can Fam Physician | year= 1979 | volume= 25 | issue= | pages= 1189-93 | pmid=21297792 | doi= | pmc=2383214 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21297792 }} </ref> | ||
[[Image: | [[Image:Output 7S46OT.gif|500x500px|]] | ||
Single upright lateral radiograph reveals a markedly thickened epiglottis, <br> | |||
the classic "thumb" appearance (arrow). <br> Note is also made of oxygen tubing around the patient's ears and nose. <br> | |||
Image courtesy of Dr Andrew Ho, <ref name=abc> <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22906">rID: 22906</a> </ref> | Image courtesy of Dr Andrew Ho, <ref name=abc> <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22906">rID: 22906</a> </ref> | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
[[Category: | [[Category:Emergency medicine]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Pediatrics]] | |||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
Latest revision as of 21:37, 29 July 2020
Epiglottitis Microchapters |
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Treatment |
Case Studies |
Epiglottitis x rays On the Web |
American Roentgen Ray Society Images of Epiglottitis x rays |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
On lateral soft tissue X-ray of the neck, the thumbprint sign a finding that suggests the diagnosis of epiglottitis is seen.[1][2][3] The thumbprint sign is a manifestation of swollen and edematous epiglottis. This shows as a hemispherical mass at the base of the tongue replacing the normal slender coma shape of the epiglottis.[4]
X Rays
Lateral soft tissue X Ray of the neck
On lateral soft tissue X-ray of the neck, the thumbprint sign is finding that suggests the diagnosis of epiglottitis is seen.[1][2][3] The thumbprint sign is a manifestation of swollen and edematous epiglottis. This shows as a hemispherical mass at the base of the tongue replacing the normal slender coma shape of the epiglottis as shown in the image below:[4]
Single upright lateral radiograph reveals a markedly thickened epiglottis,
the classic "thumb" appearance (arrow).
Note is also made of oxygen tubing around the patient's ears and nose.
Image courtesy of Dr Andrew Ho, [5]
References
- ↑ 1.0 1.1 Grover C (2011). "Images in clinical medicine. "Thumb sign" of epiglottitis". N Engl J Med. 365 (5): 447. doi:10.1056/NEJMicm1009990. PMID 21812674.
- ↑ 2.0 2.1 Raj PP, Larard DG, Diba YT (1969). "Acute epiglottitis in children. A respiratory emergency". Br J Anaesth. 41 (7): 619–27. PMID 5798842.
- ↑ 3.0 3.1 Stuart MJ, Hodgetts TJ (1994). "Adult epiglottitis: prompt diagnosis saves lives". BMJ. 308 (6924): 329–30. PMC 2539273. PMID 8124122.
- ↑ 4.0 4.1 Achong MR (1979). "Respiratory tract infections in adults". Can Fam Physician. 25: 1189–93. PMC 2383214. PMID 21297792.
- ↑ <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22906">rID: 22906</a>