Clinical assessment of child with upper airway obstruction

History

  • Age
  • Speed of onset and precipitating event
  • Associated symptoms (fever, drooling, hoarseness)
  • Feeding difficulty
  • Past medical history (birth trauma, intubation)

Examination

  • Craniofacial anomalies
  • Cutaneous haemangiomas
  • Respiratory distress sign
  • Neck mass
  • Growth chart
  • COMPLETE ENT EXAMINATION
  • Flexible fibroptic examination

Investigation

  • Physiological Studies:

    • ABG
    • Spirometry
  • Imaging:

    • Chest X-ray (FB)
    • HKV (subglottic stenosis)
    • CT scan (choanal atresia, retropharyngeal abscess, tumor)
    • MRI (intracranial extension)
    • Barium swallow (vascular ring)
  • Endoscopy: Is the tool of examination