OME Peds Upper Airway

Question 1

5 Upper Airway Problems

Answer 1

Croup (laryngobronch?)
Bacterial Tracheitis

Epiglottitis
Retropharygeal Abcess
Peritonsillar Abscess

Question 2

Croup: Path, Age, Sx

Answer 2

Parainfluenza
3 mos-3 yrs
Viral Prodrome
Barking, seal-like cough, Stridor

Question 3

Croup Dx:

Answer 3

Xray: Steeple Sign (nonspecific)

Give RAcemic Epi and see if they get better

Question 4

Croup Tx:

Answer 4

Mild: mist
Moderate: Racemic Steroids, Oxygen
(CB says dexamethasone and racemic epi)
Severe: Moderate and admit.

Question 5

Bacterial Tracheitis: Path
Age
Sx

Answer 5

Path: Staph Aureus
Pt. Wide, avg 4 yrs.
Croup that does not improve with croup tx (racemix epi)

Question 6

Bacterial Tracheitis: Dx

Answer 6

Xray- steeple sign (nonspecific)
Racemic epi does not work.
Tracheal culture

Question 7

Bact Trach: Tx

Answer 7

IV ABX

F/u: Scope

Question 8

Epiglottis: Path, Age, Sx

Answer 8

H. flu- vaccine
3-7 yo
Sick, rapid onset, high spiking fever, tripoding, drooling, 
accessory muscles
Hot-potato-voice

Question 9

Epiglottitis Dx

Answer 9

x-ray- thumbprint: (nonspecific)

Visualize cherry-red epiglottis

Question 10

Epiglottitis Tx:

Answer 10

ET tube OR (you touch it, it will blow up)

IV ABX

Question 11

Retropharyngeal Abscess Path and sxs

Answer 11

Path: oral flora
Sick, rapid onset
high fever, drooling, neck extended
*Ant chain LN
*Tender Mass= Abscess

Question 12

Retropharyngeal Abscess DX and TX

Answer 12

CT scan
TX: Incision and drain/ aspiration
IV ABX

Question 13

Peritonsillar Abscess

Answer 13

Path: oral
Pt: 10 yo or older
Sx: hot-potato-voice
Drooling, sore throat, 
*uvula deviation

Dx: Clx
Tx:
DRain and ABX