Croup childhood Flashcards

1
Q

Croup

what about it

A

Common, acute respiratory illness

Gradual onset, typically mild and self-limiting

Most often seen in children aged 6/12 – 6 years

Occurs all year round
Peaks in spring & autumn
Often worse at night

Is the commonest cause of stridor

95% are due to viral illness

Parainfluenza virus most common cause, also RSV & influenza

Stridor, hoarseness, barking ‘seal like’ cough result from inflammation and narrowing around the subglottic region

Frightening experience for parents
Other causes for stridor: epiglottitis
Bacterial tacheitis, FB, abcesses, anaphylaxis etc.

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2
Q

Signs & Symptoms

Viral croup

A
Onset over a few days
Preceding cold symptoms
Stridor only when upset
Stridor sounds harsh
Voice harsh
Barking cough
Unwell: temp < 38.5°C
Can swallow oral secretions
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3
Q

Signs & Symptoms

Epiglottitis

A
Sudden onset
No preceding viral illness
Continuous stridor
Stridor softer (snoring)
Voice muffled / whispering
Cough not prominent
Toxic, very ill: temp 390C
Drooling of secretions
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4
Q

Differences between the two – croup

A

Differences between the two – croup noisy
Epi – quieter, look more unwell, toxic
Epiglottitis not often seen in children now due to HIB immunisation. Good comparisom.

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5
Q

coup Assessment

A

Hands off approach!
Observe:
Respiratory rate, grunting, recessions, colour, accessory muscle use, stridor
Engagability with carer: tiredness, agitation, drowsiness, lethargy, altered mental state
Oxygen saturations
Croup score

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6
Q

tools for croup

A

Modified Taussig Croup Score

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7
Q

croup Management child

A

Hands off, calm approach

Keep child in position of comfort

Avoid: examination of the throat, blood sugar measurement, nebulisers etc

Refer to appropriate facility for further treatment and management

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