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Paeds > Croup > Flashcards

Croup Flashcards

1
Q

what part of the airway is affected in croup

A

trachea, larynx and large bronchi

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2
Q

what is the primary aetiological cause of croup

A

parainfluenza virus

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3
Q

what is the most common and significant symptoms present in croup that would help distinguish it from bronchiolitis

A

barking cough (stridor)

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4
Q

list 3 RFx for developing croup

A

male gender
6month - 3yrs
autumn/winter
prematurity

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5
Q

what are the 3 pathophysiological feature of croup that result in a stridor

A

inflammation
laryngeal oedema
secretions

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6
Q

when is the barking cough worse

A

at night

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7
Q

list 3 features of respiratory distress

A

intercostal recession
nasal flaring
tracheal tug
accessory muscle use

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8
Q

list 2 symptoms of croup

A

barking cough
difficulty breathing
coryza
fever

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9
Q

how is mild croup managed

  1. send home
  2. oral dexamethasone and send home
  3. o2 administration, oral dexamethasone and adrenaline
  4. adrenaline and intubation
A
  1. oral dexamethasone and send home
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10
Q

how is moderate croup managed

  1. send home
  2. oral dexamethasone and send home
  3. o2 administration, oral dexamethasone and adrenaline
  4. adrenaline and intubation
A
  1. o2 administration, oral dexamethasone and adrenaline
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11
Q

how is severe croup managed

  1. send home
  2. oral dexamethasone and send home
  3. o2 administration, oral dexamethasone and adrenaline
  4. adrenaline and intubation
A
  1. o2 administration, oral dexamethasone and adrenaline
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12
Q

what does croup cause to the larynx

A

oedema of the larynx

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13
Q

parainfluenza

A

cause of croup

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14
Q

how long does croup take to improve

A

<48 hrs

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15
Q

which is the most common cause of croup

parainfluenza virus

or

respiratory synctical virus

A

parainfluenza virus

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16
Q

what medication if effective in treating croup

A

dexamethasone

17
Q

what nebulised medication cab be given in children with croup

A

adrenaline

budesonide

18
Q

what can croup caused by diphtheria lead to

A

epiglottis

19
Q

what is stridor

A

high pitched inspiratory noise caused by obstruction in upper airway

Paeds (10 decks)

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