What this deck covers
Subglottic Stenosis 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: Croup (laryngotracheobronchitis), Acute epiglottitis, Subglottic stenosis, Foreign body aspiration, Chest x-ray, Barium swallow study, Flexible bronchoscopy, Pulmonary function tests, Grade 1, Viral upper respiratory infections, Chronic gastroesophageal reflux, Allergic rhinitis, Endoscopic balloon dilation, Laryngotracheal reconstruction, Corticosteroid injection, Chronic otitis media, Failure to thrive, Dental caries, Vision impairment, Complete resolution of all respiratory symptoms, Persistent hoarseness or dysphonia, Development of new onset asthma, Increased risk of recurrent infections, Congenital malformation of the cricoid cartilage, Trauma and inflammation from the endotracheal tube, Allergic reaction to intubation materials.
Clinical pearls from this deck
- The key clue is recent intubation — ETT pressure on the cricoid mucosa causes ischemic injury and subglottic scarring. Acquired SGS gives biphasic/inspiratory stridor at a fixed extrathoracic site. Afebrile, clear lungs, and no viral prodrome argue against croup; epiglottitis is toxic with drooling/high fever; foreign body is sudden with unilateral findings.
- Flexible bronchoscopy is the gold-standard first look — it visualizes the whole airway, pinpoints the location, length, and severity of the narrowing, and catches associated lesions (laryngomalacia, cord paralysis, tracheomalacia). Rigid microlaryngoscopy/bronchoscopy under anesthesia then formally grades it. X-ray/barium are insensitive; PFTs are impractical in toddlers.
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.
