Croup = laryngotracheobronchitis Flashcards

1
Q

Etiology

A
  1. Parainfluenza, RNA, linear, helical (paramyxovirus)
  2. Adenovirus (conjunctivitis)
  3. Respiratory syncicial virus (RSV)
  4. Diphtheria before virus
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2
Q

Incidence

A

The most common for of acute upper respiratory obstruction

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3
Q

Epidemiology

A

3 months to 3 years

Season: winter/fall

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4
Q

Clinically

A

Inflammation of upper airway
Hoarse = dysphonia (difficulty), barking cough - barking seal cough - especially at night
Inspiratory stridor = same as acute epiglottitis
Inspiratory stridor = the problem is ABOVE the vocal cord
Expiratory = in the trachea
Biphasic = cancer

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5
Q

Complication

A

Upper respiratory obstruction - asphyxiation

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6
Q

Diagnosis

A

CLINICAL (mainly)
Best initial test: X-ray steeple sign (subglottic narrowing)
Most accurate test: PCR

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7
Q

DDx

A
  1. Acute epiglottitis EMERGENCY - RULE OUT BEFORE DIAGNOSING CROUP
  2. Foreign body inhalation
  3. Subglottitis stenosis
  4. Angioedema
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