Obstructive Sleep Apnoea in Children

What this deck covers

Obstructive Sleep Apnoea in Children in twelve 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.

The 12 cases, in order

1. The breathing that stops in the night
2. Tonsils that meet in the middle
3. A face shaped by the airway
4. What the side view of the neck can tell you
5. At home or in the laboratory
6. Seven events in an hour
7. The operation that usually fixes it
8. More than one reason to obstruct
9. The adolescent who does not fit the pattern
10. When the mask is the answer
11. A week after the operation
12. The cost of years of untreated obstruction

Diagnoses and management options tested

Across the twelve cases you are asked to choose between options such as: Habitual snoring without pauses, Paradoxical inward rib cage movement on inspiration, Sleep talking and night terrors, Grade 1 plus, Adenoid facies, Crouzon syndrome, Pierre Robin sequence, Treacher Collins syndrome, Nocturnal pulse oximetry at home, Home sleep apnoea testing, A lateral neck radiograph for adenoid size, In-laboratory polysomnography, Continuous positive airway pressure, Intranasal corticosteroids for six months, Weight loss and positional therapy, Isolated adenoid hypertrophy, Recurrent viral upper respiratory infections, Excessive lymphoid tissue in the larynx, First-line for every child with sleep apnoea, Coarctation of the aorta, Mitral valve prolapse, Pulmonary hypertension with cor pulmonale, Tetralogy of Fallot.

Clinical pearls from this deck

• Snoring is the symptom that brings them in; paradoxical chest movement is the sign that proves obstruction.
• Grade in quarters, and remember that kissing tonsils are grade 4. Size seen awake is not severity measured asleep.

The twelve 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 respiratory decks and question sets · pediatric reference values.