What this deck covers
Stridor & Laryngomalacia in ten clinical teaching cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
Diagnoses and management options tested
Across the ten cases you are asked to choose between options such as: Acute onset following a viral prodrome, Prominent barking cough and hoarseness, Asymmetric chest rise and localized wheezing, Persistent stridor that remains unchanged during sleep, Subglottic narrowing due to mucosal edema, Lateral neck x-ray, soft tissue view, High-resolution computed tomography scan of the chest, Flexible fiberoptic laryngoscopy, Barium swallow study, Spasmodic croup, Retropharyngeal abscess, Adenotonsillar hypertrophy, Subglottic stenosis, Observation and parental reassurance, Immediate referral for supraglottoplasty, Initiation of high-dose oral corticosteroids, Continuous pulse oximetry monitoring at home, Laryngotracheal reconstruction, Congenital hypothyroidism, Cystic fibrosis, Vitamin D deficiency (rickets), Gastroesophageal reflux disease, By six months of age, By nine months of age, By twelve to twenty-four months of age, By five years of age.
Clinical pearls from this deck
- Laryngomalacia gives inspiratory stridor that worsens supine, with feeding, and with agitation — lying flat lets gravity pull the tongue and floppy supraglottic tissues back. It starts in the first ~2 weeks, peaks at 4–8 months, and the babies are classic “happy wheezers”: noisy but feeding, growing, and thriving.
- Prone positioning pulls the floppy supraglottic tissues forward off the airway, so stridor eases; crying/feeding worsen it (more negative inspiratory pressure sucks the tissue in). A barking cough/hoarseness suggests croup or cord pathology; asymmetric chest rise points to a lower-airway/foreign-body cause. Screen for synchronous airway lesions (~20%).
The ten worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included.
More from this system: all ent decks and question sets · pediatric reference values.
