Croup

Question 1

Who gets croup

Answer 1

Children betwen 6mths and 3 years

Question 2

Causative organism of croup

Answer 2

Parainfluenza virus

Question 3

Risk factors of croup - 3

Answer 3

young age
males
being intubated

Question 4

Presentation of croup - 4

Answer 4

• barking cough
• stridor when agitated
• gets worse at night
• URTI symptoms e.g. fever, coryza

Question 5

What are the categories of severity of croup - 3

Answer 5

Mild - barking cough but no stridor

Moderate - barking cough with stridor. No agitation

Severe - barking cough, stridor and agitation

Question 6

Difference between Epiglottitis and Croup.

Seriousness and presentation,

Answer 6

EPIGLOTTITS
- airway threatening
- drooling, sniffing position stridor

CROUP
- common and not usually severe
- barking cough and stridor

Question 7

Differentials of croup - 3

Answer 7

• bacterial tracheitis
• epiglottitis
• Retropharyngeal/peritonsillar abscess

Question 8

When should a child be admitted for croup - 3

Answer 8

• RR over 60
• moderate or severe croup
• if they have co-morbidities

Question 9

Mild case management of croup

Answer 9

Single dose dexamethasone

Question 10

Hospital management of more severe cases of croup -3

Answer 10

O2
nebulized steroids
Nebulised adrenaline