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However x-ray is less sensitive and has a high false negative rate 12 2016A high clinical suspicion should prompt more aggressive diagnostic maneuvers. This is caused by the oedematous and swollen epiglottis. Thumbprint Sign Swollen Epiglottis Xray Image Pediatric Nursing Upper Airway Science Textbook This is the radiographic corollary of the omega sign 1-3. . Thumb Sign of Epiglottitis Casey Grover MD. Performing a lateral xray of the neck shows a characteristic thumb sign or thumbprint sign. We reviewed the standard lateral neck films of six patients over the age of 18 with epiglottitis and five with a normal epiglottis. Gross anatomy The epiglottis projects posterosuperiorly from its stem-like base which is attached to the thyroid cartilage. The epiglottis is a leaf-like structure that is found at the superior end within the larynx in a persons throat. In epiglottitis the epiglottis appears swollen and enlarged the thum...
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