Clinical Case Database / Category: Case Based Discussion

Recognising and managing stridor

Publication details

Rohit Pratap MRCS
Foundation Years Journal, volume 2, issue 2, p.63 (123Doc Education, London, February 2008)


A 52-year-old lady presents to the accident and emergency department with acute onset of difficulty in breathing, very painful swallowing with drooling and fever.You examine her to fit nd she has harsh high-pitched noisy breathing. The noise only occurs in the inspiratory phase of the respiratory cycle. She is virtually aphonic. Her temperature is 38.4°C, respiratory rate is 30 breaths per minute, and oxygen saturation on room air is 90%.

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Rohit Pratap MRCS (Corresponding author)

Specialist ENT Registrar
ENT Head and Neck Surgery Department
Norfolk and Norwich University Hospital
Colney lane


1. Holinger LD. Etiology of stridor in the neonate, infant and child. Ann. Otol.
Rhinol. Laryngol. 1980; 89: 397–400.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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