Croup Flashcards

1
Q

What is another term for croup?

A

Laryngotracheobronchitis

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2
Q

Is croup an upper or lower respiratory tract infection?

A

Upper Respiratory Tract Infection

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3
Q

What is croup?

A

It is an URTI that leads to larynx oedema and secretions

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4
Q

What is the causative oranism of croup?

A

Parainfluenza viruses

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5
Q

What are the six risk factors of croup?

A

Children 6 Months – 2 Years Old

Parainfluenza Infection

Influenza Infection

Adenovirus Infection

RSV Infection

Autumn Period

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6
Q

What are the six clinical features of croup?

A

Barking Cough At Night

Coryzal Features

Low Grade Fever

Hoarse Voice

Stridor

Increased Work of Breathing

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7
Q

What are the four typical corzyal features?

A

Runny nose

Sneezing

Mucus in throat

Watery eyes

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8
Q

What are the four features of mild croup?

A

Occasional Barking Cough

No Audible Stridor At Rest

No /Mild Suprasternal And/Or Intercostal Recession

Child Appears Happy & Able To Eat, Drink & Play

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9
Q

What are the five features of moderate croup?

A

Frequent Barking Cough

Easily Audible Stridor At Rest

Suprasternal & Sternal Wall Retraction At Rest

No/Little Distress Or Agitation

Child Is Placated & Interested In Its Surroundings

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10
Q

What are the five features of severe croup?

A

Frequent Barking Cough

Prominent Inspiratory Stridor At Rest

Marked Sternal Wall Retractions

Significant Distress & Agitation, Or Lethargy Or Restlessness

Tachycardia & Severe Obstructive Features & Hypoxaemia

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11
Q

In most cases how is croup diagnosed?

A

Clinically

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12
Q

What investigation is used to confirm croup?

A

Chest X-Ray

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13
Q

What sign indicates croup on a CXR?

A

Steeple sign

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14
Q

What is the steeple sign? Which CXR view can this sign be demonstrated in?

A

It refers to subglottilc narrowing

Posterior-anterior view

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15
Q

How is croup typically managed?

A

It can be managed at home, with simple supportive treatment (fluids, rest) and safety netting advice on when to seek further medical attention

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16
Q

What are the four indications for hospital admission?

A

Severe/Moderate Croup

Child < 6 Months Old

Upper Airway Abnormalities

Diagnosis Uncertainty

17
Q

What are the three pharmacological management options of croup?

A

Oral dexamethasone

Nebulised adrenalin

Nebulised budesonide

18
Q

What dose of oral dexamethasone is used to manage croup?

A

A single dose of 0.15mg/kg

This dosage can be repeated if required after 12 hours

19
Q

In which croup patients do we administer oral dexamethasone to?

A

All patients, regardless of severity

20
Q

What alternative drug can be administered when dexamethasone is not available?

A

Prednisolone

21
Q

How long does it usually take for coup to improve after oral dexamethasone administration?

A

< 48 hrs

22
Q

What are the two supportive management options for croup?

A

High Flow Oxygen

Intubation & Ventilation

23
Q

What is the stepwise management process for croup?

A

Dexamethasone

Oxygen

Nebulised budenoside

Nebulised adrenaline

Ventilation and intubation