Croup Flashcards

1
Q

Examination

A

NEVER examine throat as risk obstruc
Stridor
Chest wall retractions
Sternal recession

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2
Q

Px

A
gradual onset stridor
Barking, brassy, seal type cough
Often following viral type URTI
Hoarse voice
Peak temp 38-39 deg
Rhinorrhea
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3
Q

Aka

A

Viral laryngotracheobronchitis

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4
Q

Peak age

A

1-2yo

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5
Q

cause

A

Parainfluenza

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6
Q

Mx according to sev

A

MILD- Barking cough AND inspir stridor. Oral pred and home.
MOD- above AND expir stridor. Admit, neb adren, oral dex or pred.
SEV- above AND palpable paradoxus. ICU, NBM, IV access, neb adrenaline, neb budesonide.
LIFE THREATENING- above AND sternal retraction or cyanosis. Emergency intubation.

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