3 month old baby pressnted with c/o noisy breathing since birth ,feeding difficulty and poor weight gain.birth wt 2.5 kg and present weight 3.3 kg.cxr normal.chest B/l conducted sound.inspiratory stridor,rest normal.

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LARYNGOMALACIA Patients have significant feeding problems (choking episodes and recurrent aspiration) and an abnormal or absent cry. ... Clinical presentation may be similar, although patients have an abnormal, often high-pitched cry. DD ARE Vocal card palsy Laryngeal web Subglottic stenosis . Laryngeal cleft. Laryngeal cyst Subglottic hemangioma

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Laryngomelacia It will resolve with age. Rule out sepsis,CHD for poor weight gain.

Rules out H type TOF HYPOTHYROIDISM MPS LARYNGEAL WEB

Laryngomalacia Mx. Laser aryepiglottoplasty.

As per history and clinical findings are more in favour of sev. Laryngomalacia one plan for flexible laryngoscopy to see other causes In such cases where poor feeding and ftt one can also consider for surgical correction

Laryngomalacia

laryngomalacia poor wt gain duo to feeding dificulty

Laryngomalacia.dd vascular ring.

Add d3 vit, calcium and advice burping.

Laryngomalacia

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