ACUTE EPIGLOTTITIS Flashcards

1
Q

What microorganism is acute epiglottitis caused by?

A

haemophilus influenzae type b

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2
Q

Why have the cases of acute epiglottitis reduced in the UK?

A

due to the introduction of HIB vaccines

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3
Q

What are the signs and symptoms of acute epiglottitis?

A
  1. high temp
  2. stridor
  3. drooling
    4.tripod position
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4
Q

What is the onset like for acute epiglottitis?

A

Rapid

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5
Q

How is a diagnosis made in acute epiglottitis?

A

direct visualisation

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6
Q

When are X-rays done in diagnosis of acute epiglottitis?

A

if there is a foreign body

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7
Q

What is the “thumb sign” in acute epiglottitis?

A

X ray lateral view of the throat

if there is a foreign body

shows swelling of epiglottis

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8
Q

What is the “steeple sign”?

A

x ray view posterior anterior

subglottic narrowing in croup

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9
Q

What is the management of acute epiglottititis?

A
  1. immediate senior input - ent, anaesthetics (those who can provide airway support)
  2. do NOT examine
  3. oxygen
  4. iv antibiotics
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