Croup Flashcards

1
Q

Aetiology of croup?

A

*Parainfluenza
Influenza
Rhinovirus
RSV

95% of laryngotracheal infections

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2
Q

Name some epidemiological factors in Croup

A

6 months - 6 years typical age range
Peak incidence = 2 years
Most common in autumn

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3
Q

What are the clinical features of Croup

A

Coryza and fever

followed by:

  • Hoarseness
  • barking cough
  • Harsh stridor
  • Dyspnoea

Symptoms often start, and are worse at, night

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4
Q

Treatment of Croup

A

Mild (recession and stridor disappear at rest
- home - monitor for signs of increasing severity

Oral dexamethasone, prednisolone, nebulised steroids (budesonide)

Severe
-nebulised adrenaline w/ O2
-

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5
Q

Difference between acute epiglottiis and croup

A

Croup vs Epiglottitis

  • onset - days vs hours
  • preceding coryza- yes vs no
  • Cough - severe, barking vs absent, slight
  • Drinking? - Yes vs No
  • Drooling? - No vs Yes
  • Appearance - Unwell vs Toxic
  • Fever- <38.5* vs >38.5*
  • Stridor - Harsh, rasping vs soft, whispering
  • Voice - Hoarse vs Muffled
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