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12 Cards in this Set
- Front
- Back
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Croup
caused by |
Parainfluenza 1 or 3
Influenza A or B |
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Croup presentation
|
3mo-5yo with URT sx
Rhinorrhea, sore thorat, hoarseness deep barking cough inspriatory stridor, tachypnea, sx worse at night |
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Croup
dx |
Clinical
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Croup
mgmnt |
O2, humidified
Epinephrine/Corticosteroids, nebulized Neck XR (rule out thumbprint sign of epiglottitis) CEO Necktie |
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Epiglottitis
caused by |
H. Influenza type B
S. pyogenes S. pneumoniae S. aureus Mycoplasma |
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Epiglottitis
presentation |
sudden onset:
muffled voice, DROOLING, DYSPHAGIA high fever, inspiratory stridor Pt prefers sitting in tripod position Toxic appearance. |
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Epiglottitis
dx |
Treat first, then diagnose for sure!
XR Neck-thumbprint sign Blood cx Nasopharyngoscopy in OR Epiglottic swab culture |
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Epiglottitis
mgmnt |
Treat first, then diagnose for sure!
1. Transfer to hospital/OR 2. Consult ENT and anesthesia 3. Intubate 4. Ceftriaxone and Steroids 5. Rifampin ppx to household contacts if H. influenza positive TEA ICE STRIF |
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Bacterial tracheitis
cause |
S. aureus
|
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Bacterial tracheitis
presentation |
Brassy cough, high fever, respiratory distress
<3yo usu after viral URTI |
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Bacterial tracheitis
dx |
Clinical + Laryngoscopy
CXR withsubglottic narrowing plus ragged tracheal air column -Blood cx -Throat cx |
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Bacterial tracheitis
tx |
antistaph abx
may require intubation |
