An unusual presentation of stridor in an adolescent

Gill, Simran, Hariharan, Gopakumar, and Puvvadi, Ramaa (2022) An unusual presentation of stridor in an adolescent. Australian Journal of General Practice, 51 (6). pp. 416-417.

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[Extract] A girl aged 11 years had multiple visits to the general practitioner and emergency department (ED) with unusual episodes of sudden-onset respiratory distress associated with stridor. Clinical examination at the time of presentation was unremarkable apart from stridor, and oxygen saturations were normal. Radiography of the chest, neck and soft tissues were unremarkable.

In view of the unusual presentation and parental concerns, extensive investigations were undertaken, all of which were within normal limits. Conditions causing stridor such as croup, extrinsic mediastinal compression and neurological conditions (seizures or Arnold–Chiari malformation) were excluded using detailed clinical evaluation, X-ray and magnetic resonance imaging. Given normal investigations, spontaneous resolution of stridor on sleep, varying and recurrent presentations, and the context of several psychological stressors, a provisional diagnosis of vocal cord dysfunction (VCD) was made.

Item ID: 76516
Item Type: Article (Case Study)
ISSN: 2208-7958
Keywords: emergency medicine, respiratory problems, stridor
Copyright Information: © The Royal Australian College of General Practitioners 2022.
Date Deposited: 12 May 2023 00:35
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320217 Otorhinolaryngology @ 100%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
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