ElectricAirway: Upper Airway Problems in Children
Case 6
Donna M. Santer, M.D., Michael P. D'Alessandro, M.D.
Peer Review Status: Externally Reviewed by Lauren D Holinger, MD, Robert J. Winter, MD and the AMA
A 3-week-old black female presents to your office with "noisy breathing" and stridor.
She has had this problem since birth. She has a hoarse cry, difficulty eating, and is below
her birth weight.
19. What other physical examination signs would you expect to see in this child?
(ANSWER)
- a. Rhonchi and rales
- b. Rales and chest wall deformity
- c. Rhonchi, aphonia, and chest wall deformity
- d. Rales, aphonia, and chest wall deformity
20. What are the possible procedures used to evaluate this abnormality? (ANSWER)
X-Ray B 
X-Ray D 
Procedure I 
- a. X-Ray B and X-Ray D
- b. X-Ray B and Procedure I
- c. X-Ray D and Procedure I
- d. X-Ray B, X-Ray D, and Procedure I
21. The differential diagnosis of this abnormality includes which of the following disease processes?
(ANSWER)
- a. Vocal cord paralysis
- b. Subglottic stenosis
- c. Acute epiglottitis
- d. A and B
22. What are the possible bronchoscopy findings in this child? (ANSWER)
Video A 
Video C 
- a. Video A
- b. Video C
- c. Video A and Video C
- d. Neither
23. What are the possible treatments for this disease process? (ANSWER)
Procedure A 
Procedure F 
Procedure H 
- a. Procedure A
- b. Procedure F
- c. Procedure H
- d. Procedure A and Procedure H
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