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Radiology Quiz Case 1

Radiology Quiz Case 1 A healthy 2-year-old boy presented to the emergency department on 5 separate occasions, over a period of 5 months, with difficulty breathing. Each time, clinical examination revealed signs and symptoms of respiratory distress with inspiratory stridor. There was no evidence of neck swelling, oral cavity masses, or enlarged tonsils. Flexible nasopharyngolaryngoscopy revealed small adenoids. The base of tongue, epiglottis, vallecula, and vocal cords were normal, as was vocal cord motion. Pulse oximetry demonstrated oxygen saturations above 94% on supplemental oxygen. The patient was treated with 2 mg of intravenous dexamethasone and nebulized epinephrine. The clinical impression was that of recurrent acute laryngotracheobronchitis. A plain lateral neck radiograph was obtained (Figure 1). Figure1. View LargeDownload What is your diagnosis?> http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Radiology Quiz Case 1

Abstract

A healthy 2-year-old boy presented to the emergency department on 5 separate occasions, over a period of 5 months, with difficulty breathing. Each time, clinical examination revealed signs and symptoms of respiratory distress with inspiratory stridor. There was no evidence of neck swelling, oral cavity masses, or enlarged tonsils. Flexible nasopharyngolaryngoscopy revealed small adenoids. The base of tongue, epiglottis, vallecula, and vocal cords were normal, as was vocal cord motion. Pulse...
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Publisher
American Medical Association
Copyright
Copyright © 2004 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.130.8.996
Publisher site
See Article on Publisher Site

Abstract

A healthy 2-year-old boy presented to the emergency department on 5 separate occasions, over a period of 5 months, with difficulty breathing. Each time, clinical examination revealed signs and symptoms of respiratory distress with inspiratory stridor. There was no evidence of neck swelling, oral cavity masses, or enlarged tonsils. Flexible nasopharyngolaryngoscopy revealed small adenoids. The base of tongue, epiglottis, vallecula, and vocal cords were normal, as was vocal cord motion. Pulse oximetry demonstrated oxygen saturations above 94% on supplemental oxygen. The patient was treated with 2 mg of intravenous dexamethasone and nebulized epinephrine. The clinical impression was that of recurrent acute laryngotracheobronchitis. A plain lateral neck radiograph was obtained (Figure 1). Figure1. View LargeDownload What is your diagnosis?>

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Aug 1, 2004

Keywords: diagnostic radiologic examination,radiology specialty

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