Croup Flashcards
XR findings
Steeple’s Sign (subglottic narrowing
Signs of resp distress in kids
Nasal Flaring
Suprasternal Retractions
Abdominal Breathing
Intercostal Indrawing
Unable to Speak Full Sentences
Tripod Positioning
Lethargy/Somnolence
Drooling
Grunting
Tachypnea
Cyanosis
Fatigue
Sx
6mo-5yrs
Usually viral season (parainfluenza in fall, RSV in winter)
Inspiratory stridor
Barking cough
Hoarseness
Ix
Physical exam only
How to assess severity of croup
Wesley Croup:
chest wall retractions
stridor
cyanosis
LOC
AE
Management
Passive blow by O2
Severe croup: L-epi 5mls of 1:1000 nebs, repeat q2H
Dexamethasone 0.6mg/kg PO/ IM/ IV, max 10mg x 1 dose
Observe + consider admission if severe
How to counsel parents
Usually due to virus
May get recurrence of sx
Effect of steroid will last 24-48hrs
Return if difficulty breathing, stridor at rest etc
FU w/ GP in 24-48hrs
DDx
Anaphylaxis
FB - CXR
Bacterial tracheitis - XR of neck
Epiglottitis - drooling, throat pain
Retropharyngeal abscess