Epiglottitis differential diagnosis: Difference between revisions
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![[Epiglottitis]] | ![[Epiglottitis]] | ||
![[Pharyngitis]] | ![[Pharyngitis]] | ||
![[Tracheitis]] | ![[Tracheitis|Bacterial tracheitis]] | ||
![[Tonsilitis]] | ![[Tonsilitis]] | ||
![[Retropharyngeal abscess]] | ![[Retropharyngeal abscess]] | ||
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|Mainly 6 months and 3 years old | |Mainly 6 months and 3 years old | ||
rarely, adolescents and adults | rarely, adolescents and adults | ||
| | |Used to be mostly found in | ||
pediatric age group between 3 to 5 years, | |||
however, recent trend favors adults | |||
as most commonly affected individuals<ref name="pmid270310102">{{cite journal| author=Lichtor JL, Roche Rodriguez M, Aaronson NL, Spock T, Goodman TR, Baum ED| title=Epiglottitis: It Hasn't Gone Away. | journal=Anesthesiology | year= 2016 | volume= 124 | issue= 6 | pages= 1404-7 | pmid=27031010 | doi=10.1097/ALN.0000000000001125 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27031010 }}</ref> | |||
with a mean age of 44.94 years. | |||
|Mostly in children and young adults, | |Mostly in children and young adults, | ||
Revision as of 16:21, 19 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
Differentiating Epiglottitis from other Diseases
Epiglottitis must be differentiated from other respiratory diseases and conditions that may cause throat pain and airway obstruction:[1][2]
- Croup (Laryngotracheobronchitis)
- Foreign body obstruction
- Subglottic stenosis
- Pharyngitis
- Tonsilitis
- Angioedema
- Uvulitis
- Retropharyngeal or peritonsilar abscesses
- Bacterial tracheitis
| Variable | Croup | Epiglottitis | Pharyngitis | Bacterial tracheitis | Tonsilitis | Retropharyngeal abscess | |
|---|---|---|---|---|---|---|---|
| Presentation | Cough | ||||||
| Stridor | |||||||
| Drooling | |||||||
| Causes | |||||||
| Physical exams findings | |||||||
| Age commonly affected | Mainly 6 months and 3 years old
rarely, adolescents and adults |
Used to be mostly found in
pediatric age group between 3 to 5 years, however, recent trend favors adults as most commonly affected individuals[3] with a mean age of 44.94 years. |
Mostly in children and young adults,
with 50% of cases identified between the ages of 5 to 24 years.[4] |
||||
| Imaging finding | Steeple sign on neck X-ray | Thumb print sign on neck x-ray | |||||
| Treatment | |||||||
References
- ↑ Everard ML (2009). "Acute bronchiolitis and croup". Pediatr. Clin. North Am. 56 (1): 119–33, x–xi. doi:10.1016/j.pcl.2008.10.007. PMID 19135584.
- ↑ Cherry JD (2008). "Clinical practice. Croup". N. Engl. J. Med. 358 (4): 384–91. doi:10.1056/NEJMcp072022. PMID 18216359.
- ↑ Lichtor JL, Roche Rodriguez M, Aaronson NL, Spock T, Goodman TR, Baum ED (2016). "Epiglottitis: It Hasn't Gone Away". Anesthesiology. 124 (6): 1404–7. doi:10.1097/ALN.0000000000001125. PMID 27031010.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.