Epiglottitis Flashcards
what is epiglottis
inflammation and swelling of the epiglottis and is a medical emergecny
what is the cause of epiglottis
haem influenza B
when should you have high suspicion of epiglottis
unvaccinated child
epiglottis presents in a similar way to croup, how can you distinguish between the two
epiglottis has a rapid onset compared to croup
list 5 features that would make you suspect epiglottis
unvaccinated child sore throat fever cough difficulty swallowing drooling
what position might a child present in with epiglottis
tripod position
yes/no
high suspicion of epiglottis should investigations be performed
no
what imaging might you order if suspecting epiglottis
lateral neck x-ray
what sign might be present in a lateral neck xray when suspecting epiglottis
thumb print sign
who should you inform when you suspect epiglottis in a child
senior paediatrician
paeds anaesthetist
what does management of epiglottis ensure
airway is secure
yes/no
does management of epiglottis require intubation
no
however sudden airway closure may require intubations
where would you transfer a child with epiglottis
to the ICU
what 2 meds can be given in the management of epiglotitis
iv abx e.g. ceftriaxone
steroids e.g. dexamethasone
what is a common complication that can arise as a result of epiglottitis
epiglottis abscess