Physical findingsPossible etiology
General
CyanosisCardiac disorder, hypoventilation with hypoxia
FeverUnderlying infection
ToxicityEpiglottitis
TachycardiaCardiac failure
BradycardiaHypothyroidism
Quality of stridor
Inspiratory stridorObstruction above glottis
Expiratory stridorObstruction at or below lower trachea
Biphasic stridorGlottic or subglottic lesion12
Position of the child
Hyperextension of the neckExtrinsic obstruction at or above larynx13
Leaning over, droolingEpiglottitis
Lessening of stridor in prone positionLaryngomalacia
Chest findings
Prolonged inspiratory phaseLaryngeal obstruction
Prolonged expiratory phaseTracheal obstruction
Unilateral decreased air entryForeign body in ipsilateral bronchus
Associated signs
Arrhythmias, significant heart murmurs, abnormal heart soundsStructural heart disease
Cutaneous hemangiomasSubglottic hemangioma
Peripheral neuropathyVocal cord paralysis
Urticaria/angioneurotic edemaAngioneurotic edema