What are the examination items for acute laryngitis in children?

Children are most vulnerable to diseases due to their poor resistance, especially during season changes or winter and spring. Acute laryngitis in children is one of the most common diseases, which is common in children between 6 months and 3 years old. Its initial symptoms are similar to those of a cold, and since children cannot speak, we need to use some tests to make a diagnosis. Here we will introduce the examination items for acute laryngitis in children.

Key inspection items

1. Lung and pleural auscultation. Lung and pleural auscultation is one of the most basic and important methods of lung examination and is of great significance for the diagnosis of lung diseases.

2. Direct laryngoscopy. Since the child was uncooperative, indirect laryngoscopy could not be performed. Examination showed that the laryngeal mucosa was congested and swollen, the vocal cords were also congested and red, with dilated blood vessels on them, the glottis was often attached with viscous secretions, and the subglottic mucosa was swollen and protruded to the middle to form a narrow cavity.

3. Routine blood test. Blood test is to detect and analyze the quantity and quality of the three systems of formed elements in the blood, namely red blood cells, white blood cells and platelets. Therefore, hematological analysis and its results are very helpful in understanding the severity of the disease.

4. Bacterial culture of ear, nose and pharyngeal swabs Bacterial culture of ear, nose and pharyngeal swabs can isolate pathogenic bacteria, which is helpful for the diagnosis of otitis media, rhinitis, sinusitis, diphtheria, purulent tonsillitis, acute pharyngitis, etc.

The above examinations can be used to distinguish it from the following symptoms.

1. Foreign bodies in the respiratory tract should first be distinguished from foreign bodies in the respiratory tract. Acute laryngitis usually has no history of foreign body inhalation. There may be a history of upper respiratory tract infection such as fever, runny nose, cough, etc. before the onset of the disease, which can be distinguished from it.

2. Laryngospasm in children should also be differentiated from laryngeal spasm in children. Laryngospasm is common in younger infants. There may be laryngeal wheezing during inhalation, with a sharp and thin tone. The attack time is relatively short, and the symptoms may disappear suddenly, without hoarseness or fever.