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Pathology Quiz Case 1
Christopher D. Lansford, MD;
Edward H. Bossen, MD;
Richard L. Scher, MD
Duke University Medical Center, Durham, NC
Arch Otolaryngol Head Neck Surg. 2003;129:369.
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A 2-MONTH-OLD GIRL who was born after 37 weeks of gestation via spontaneous vaginal delivery presented with feeding difficulties, copious nasal mucous discharge, and noisy breathing induced by feeding and sleeping. Her growth curves were normal, and her medical history was otherwise unremarkable. A chest radiograph and a lateral plain radiograph of the neck demonstrated no abnormalities, but bronchoscopy revealed some anterior prolapse of the arytenoid cartilages and some interarytenoid erythema. Polysomnography showed numerous obstructive apneas, hypopneas, and desaturation values to 81%, but during treatment with bilevel positive airway pressure, the hypopneas significantly improved. A concurrent esophageal pH probe demonstrated significant gastroesophageal reflux.
On physical examination, the patient was afebrile, her vital signs were normal, and her oxygen saturation was 97%. She had mild inspiratory stridor, which was alleviated by crying. There were no adventitious pulmonary sounds. She . . . [Full Text of this Article]
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Pathology Quiz Case 1—Diagnosis
Arch Otolaryngol Head Neck Surg. 2003;129(3):371.
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