No Wheezes Or Crackles in Pediatrics — Case | Pediatric Respiratory | SMLE Q#11351
SMLE Question #11351
Pediatrics
Pediatric Respiratory
Objective: OBJ-273
Last updated: February 2026
An 18-month-old boy has 2 days of noisy breathing and a barking “seal-like” cough. Three days earlier, he developed low-grade fever, rhinorrhea, and nasal congestion, followed by hoarseness. He has intermittent inspiratory stridor only when crying and minimal stridor at rest. There is no drooling, dysphagia, or choking episode. On examination, he has a barking cough without retractions or cyanosis, and bilateral good air entry with no wheezes or crackles. What is the most likely diagnosis?
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