Document Detail

Stridor in an adult. An unusual presentation of functional origin.
MedLine Citation:
PMID:  2650574     Owner:  NLM     Status:  MEDLINE    
A 34-year-old woman with a recent history of a influenza-like illness and signs of bronchopneumonia presented with many of the features of acute epiglottitis, a condition which still carries a high mortality in adults. Urgent laryngoscopy and bronchoscopy under inhalational anaesthesia were negative. The results of arterial blood gases, taken when stridor was at its worst, revealed marked hypocapnia and respiratory alkalosis. We conclude that the resultant acute reduction of serum ionised calcium produced stridor as a result of tetany of the vocal cords. Similar cases from the literature and the role of emotional factors in the aetiology are discussed.
N S Morton; G W Barr
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Anaesthesia     Volume:  44     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1989 Mar 
Date Detail:
Created Date:  1989-05-22     Completed Date:  1989-05-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  232-4     Citation Subset:  AIM; IM    
Department of Anaesthesia, Ninewells Hospital, Dundee.
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MeSH Terms
Airway Obstruction / complications
Alkalosis, Respiratory / etiology
Epiglottitis / complications
Respiratory Sounds / etiology*

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