Pediatrics APEX

Question 1

epiglottitis vs croup organism

Answer 1

epiglottitis- bacterial infection
croup- viral infection, rarely bacteria

Question 2

epiglottitis vs croup age affected

Answer 2

epiglottitis- 2-6
croup-<2

Question 3

epiglottitis vs croup onset

Answer 3

epiglottitis- <24h
croup- 24-72h

Question 4

epiglottitis vs croup x ray

Answer 4

epiglottitis- swollen epiglottis (thumbs sign) on lateral xray
croup- subglottic narrowing (steeple) on frontal x ray

Question 5

epiglottitis vs croup presentation

Answer 5

epiglottitis- high grade fever, tripod position
4D’s- drooling, dyphagia, dyspnea, dysphonia
croup- low grade fever, barking cough, hoarse, stridor, retractions

Question 6

epiglottitis vs croup treatment

Answer 6

epiglottitis- oxygen, urgent airway management, abx, cpap, post op icu
croup- ocyden, epi, steroids, fluids, intubation is rare