Foreign Body Aspiration: Or something else? Differential Diagnosis

Respiratory System (J00-J99)

  • Bronchial asthma
  • Bronchiectasis (synonym: bronchiectasis) – permanent irreversible saccular or cylindrical dilatation of the bronchi that may be congenital or acquired; symptoms: chronic cough with “mouthful expectoration” (large-volume triple-layered sputum: foam, mucus, and pus), fatigue, weight loss, and decreased exercise capacity
  • Bronchiolitis – inflammation of the small branches of the bronchial tree, called bronchioles.
  • Bronchitis (inflammation of the mucous membranes in the bronchi), acute obstructive
  • Bronchitis, recurrent (recurrent).
  • Bronchitis, chronic
  • Chronic obstructive pulmonary disease (COPD) – progressive (progressive), not fully reversible (reversible) obstruction (narrowing) of the airways.
  • Epiglottis (inflammation of the epiglottis)
  • Laryngitis (inflammation of the larynx)
  • Pleurisy (pleurisy)
  • Pneumonia (pneumonia)
  • Pseudocrouplaryngitis (inflammation of the larynx), which leads mainly to swelling of the mucous membrane below the vocal cords (stenosing laryngitis).
  • Retropharyngeal abscess – collection of pus that runs along between the cervical spine and the posterior pharyngeal wall.
  • Tracheitis (inflammation of the trachea).

Cardiovascular system (I00-I99)

  • Pulmonary embolism – pulmonary infarction occurring due to acute occlusion of pulmonary vessels.
  • Myocardial infarction (heart attack)

Infectious and parasitic diseases (A00-B99).

  • Pertussis (whooping cough)
  • Tuberculosis (consumption)

Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93).

  • For recurrent (reoccurring) aspiration:
    • Laryngeal clefts (clefts in the larynx).
    • Esophagotracheal fistula – fistula (unnatural connection) between the esophagus (food pipe) and the trachea (windpipe)

Musculoskeletal system and connective tissue (M00-M99).

  • Cervical spine syndrome

Neoplasms – tumor diseases (C00-D48)

  • Bronchial carcinoma (lung cancer)

Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99)

  • Allergic edema – Allergy-related water retention.
  • Dysphagia (dysphagia), neurological – in recurrent aspirations.
  • Cardialgia (heart pain)
  • Pleurodynia (pain in the side, flank, rib).
  • Thoracic pain (chest pain)