Correct!
4. Thoracic CT scan
Tracheal webs in adults are rare and usually due to endotracheal intubation. In children they are also rare and usually congenital. We believe this was a congenital tracheal web in an adult (7). Since her aunt also had a similar problem, the web may be congenital. CT is performed to assess the vascularity, extent and position of the web (7). We referred the patient to an invasive pulmonologist and understand she is doing well after laser bronchoscopy.
References
- Palombini BC, Villanova CA, Araújo E, Gastal OL, Alt DC, Stolz DP, Palombini CO. A pathogenic triad in chronic cough: asthma, postnasal drip syndrome, and gastroesophageal reflux disease. Chest. 1999 Aug;116(2):279-84. [CrossRef] [PubMed]
- Kahrilas PJ, Altman KW, Chang AB, et al. Chronic cough due to gastroesophageal reflux in adults: Chest guideline and expert panel report. Chest. 2016 Dec;150(6):1341-60. [CrossRef] [PubMed]
- Oelsner EC, Lima JA, Kawut SM, Burkart KM, Enright PL, Ahmed FS, Barr RG. Noninvasive tests for the diagnostic evaluation of dyspnea among outpatients: the multi-ethnic study of atherosclerosis lung study. Am J Med. 2015 Feb; 128(2): 171-80. [CrossRef] [PubMed]
- Rubenstein HS, Rosner BA, LeMay M, Neidorf R. The value of the chest X-ray in making the diagnosis of bronchial asthma. Adolescence. 1993 Fall;28(111):505-16. [PubMed]
- Kenn K, Balkissoon R. Vocal cord dysfunction: what do we know? Eur Respir J. 2011 Jan;37(1):194-200. [CrossRef] [PubMed]
- Sanz Santiago V, López Neyra A, Almería Gil E, Villa Asensi JR. Spirometry patterns in vocal cord dysfunction. An Pediatr (Barc). 2013 Mar;78(3):173-7. [CrossRef] [PubMed]
- Jafar N, Islam E, Alalawi R. Shortness of breath caused by a tracheal web. SWRCCC 2015;3(9):52-4. [CrossRef]
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