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[1] [2] The presence of the steeple sign supports a diagnosis of croup, usually caused by paramyxoviruses. [3] It can also be defined as the replacement of the usual squared-shoulder appearance of the subglottic area by cone-shaped narrowing just distal to the vocal cords. This is called the steeple or pencil-point sign.
Signs and symptoms may include the following stiff neck (limited neck mobility or torticollis), [3] some form of palpable neck pain (may be in "front of the neck" or around the Adam's apple), malaise, difficulty swallowing, fever, stridor, drooling, croup-like cough or enlarged cervical lymph nodes. Any combination of these symptoms should ...
Croup is typically diagnosed based on signs and symptoms after potentially more severe causes, such as epiglottitis or an airway foreign body, have been ruled out. [4] Further investigations, such as blood tests, X-rays and cultures, are usually not needed. [4] Many cases of croup are preventable by immunization for influenza and diphtheria. [5]
On lateral C-spine X-ray, the thumbprint sign describes a swollen, enlarged epiglottis. [10] A normal X-ray, however, does not exclude the diagnosis. [10] An ultrasound may be helpful if specific changes are present, but its use (as of 2018) is in the early stages of study. [10] On CT imaging, the "Halloween sign" describes an epiglottis of ...
In radiology, the thumbprint sign, or thumbprinting, is a radiologic sign found on a radiograph that suggests the diagnosis of either epiglottitis or intestinal ischemia.. In a lateral C-spine radiograph, the sign is caused by a thickened free edge of the epiglottis, which causes it to appear more radiopaque than normal, resembling the distal thumb.
Lateral X-ray of a Zenker's diverticulum AP X-ray of a Zenker's diverticulum A combination of the simple barium swallow and a thorough endoscopy will normally confirm the diverticulum . [ 4 ]
1. Cervical spine x-ray (lateral view) Once there is an onset of the symptoms in the patient, the patients are screened through cervical-spinal imaging techniques: X-ray, CT, MRI. The scanning technique points out any cervical vertebrae defects and misalignments. (Image 1. and 2.)
Retrolistheses are most easily diagnosed on lateral x-ray views of the spine. Views where care has been taken to expose for a true lateral view without any rotation offer the best diagnostic quality. Retrolistheses are found most prominently in the cervical spine and lumbar region but can also be seen in the thoracic area.