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12 Cards in this Set
- Front
- Back
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What is the clinical presentation of epiglottitis in children?
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Acute onset (<24 hours) high fever, severe soar throat, tachycardia, and drooling while sitting forward.
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Patients with acute epiglottitis often present with signs of respiratory distress (inspiratory stridor, retractions of the chest wall).
What happens to these symptoms as the disease progresses? |
The signs of respiratory distress DIMINISH as the disease progresses.
This is NOT a good sign and results from the patient becoming fatigued. |
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Which organism causes epiglottitis?
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H. influenzae
Group A strep can also cause epiglottitis |
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A patient presents with inspiratory stridor and retractions of the chest wall. Inspection of the oropharynx doesn't reveal any abnormalities.
What can you infer from this? |
The problem lies further down the respiratory tract (e.g epiglottitis)
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How does the presentation of epiglottits differ between adults and children.
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Children: <24 hours of high fever, severe soar throat
Adults: milder illness, 1-2 days of sore throat, dyspnea |
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What is the classic radiographic finding in epiglottits?
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Thumbprint sign
Enlarged edematous epiglottis protruding into airway. |
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You suspect a child has acute epiglottitis.
What is your management of this child? |
OR immediately for intubation
Once airway is secured, obtain tissue for culture. Start patient on broad-spectrum antibiotics until you have speciation and sensitivities. |
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What is a URI?
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Upper respiratory tract infection
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Which organism is the most common cause of upper respiratory tract infections?
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Rhinovirus
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Describe the diagnostic work-up for the patient with non-specfici URI.
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Nasopharyngeal swab for PCR
In reality, however, this is usually unhelpful, unnecesary, and not done. Clinical diagnosis suffices. |
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What is a catarrhal syndrome?
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...
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What is coryza?
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