title: Case Report: Neonate With Stridor and Subcutaneous Emphysema as the Only Signs of Physical Abuse.
abstract: A stridulous, dysphonic cry with no external signs of trauma is a unique and unusual presenting sign for physical abuse. We report a previously healthy neonate with unremarkable birth history and medical history who presented with stridor and hypopharyngeal perforation due to physical abuse. This case highlights the need for further evaluation for traumatic injuries in the setting of unexplained new-onset stridor and consideration of physical abuse in the differential diagnosis.
authors.affiliation: Divisions of Critical Care Medicine, waseem@med.umich.edu.
authors.forename: Waseem
authors.initials: W
authors.lastname: Ostwani
authors.affiliation: Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan; and.
authors.forename: Sarah
authors.initials: S
authors.lastname: Novis
authors.affiliation: Center for Family Health, Jackson, Michigan.
authors.forename: Ashley
authors.initials: A
authors.lastname: Brady
authors.affiliation: Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan; and.
authors.forename: David J
authors.initials: DJ
authors.lastname: Brown
authors.affiliation: Hospital Medicine (Child Protection Team), Department of Pediatrics and Communicable Diseases, and.
authors.forename: Bethany A
authors.initials: BA
authors.lastname: Mohr
mesh_terms: D002649:Child Abuse / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007013:Hypopharynx / Q000293:injuries*; D007231:Infant, Newborn; D012135:Respiratory Sounds / Q000209:etiology*; D013352:Subcutaneous Emphysema / Q000209:etiology*; D014826:Vocal Cord Paralysis / Q000209:etiology*