Epiglottitis x rays: Difference between revisions

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On [[Human anatomical terms#Anatomical directions|lateral]] soft tissue [[X-ray]] of the neck, the [[thumbprint sign]] is a finding that suggests the diagnosis of epiglottitis.<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>
On [[Human anatomical terms#Anatomical directions|lateral]] soft tissue [[X-ray]] of the neck, the [[thumbprint sign]] is a finding that suggests the diagnosis of epiglottitis.<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>
Case courtesy of Dr Andrew Ho, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22906">rID: 22906</a>


==References==
==References==

Revision as of 16:33, 18 January 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

X Rays

Lateral soft tissue X Ray of the neck

On lateral soft tissue X-ray of the neck, the thumbprint sign is a finding that suggests the diagnosis of epiglottitis.[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]


Case courtesy of Dr Andrew Ho, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/22906">rID: 22906</a>

References

  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. Raj PP, Larard DG, Diba YT (1969). "Acute epiglottitis in children. A respiratory emergency". Br J Anaesth. 41 (7): 619–27. PMID 5798842.
  3. Stuart MJ, Hodgetts TJ (1994). "Adult epiglottitis: prompt diagnosis saves lives". BMJ. 308 (6924): 329–30. PMC 2539273. PMID 8124122.
  4. Achong MR (1979). "Respiratory tract infections in adults". Can Fam Physician. 25: 1189–93. PMC 2383214. PMID 21297792.