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12 Cards in this Set

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Croup
caused by
Parainfluenza 1 or 3
Influenza A or B
Croup presentation
3mo-5yo with URT sx
Rhinorrhea, sore thorat, hoarseness
deep barking cough
inspriatory stridor, tachypnea, sx worse at night
Croup
dx
Clinical
Croup
mgmnt
O2, humidified
Epinephrine/Corticosteroids, nebulized

Neck XR (rule out thumbprint sign of epiglottitis)

CEO Necktie
Epiglottitis
caused by
H. Influenza type B
S. pyogenes
S. pneumoniae
S. aureus
Mycoplasma
Epiglottitis
presentation
sudden onset:
muffled voice, DROOLING, DYSPHAGIA
high fever, inspiratory stridor

Pt prefers sitting in tripod position
Toxic appearance.
Epiglottitis
dx
Treat first, then diagnose for sure!
XR Neck-thumbprint sign
Blood cx
Nasopharyngoscopy in OR
Epiglottic swab culture
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
Bacterial tracheitis
cause
S. aureus
Bacterial tracheitis
presentation
Brassy cough, high fever, respiratory distress
<3yo
usu after viral URTI
Bacterial tracheitis
dx
Clinical + Laryngoscopy
CXR withsubglottic narrowing plus ragged tracheal air column
-Blood cx
-Throat cx
Bacterial tracheitis
tx
antistaph abx
may require intubation