Questions Flashcards

1
Q

A 4-year-old child presents with a high fever, difficulty breathing, and a muffled “hot potato” voice. The child is sitting upright, drooling, and appears anxious, with inspiratory stridor noted on examination.

Upon examination he has a throat that looks like this.

What is the dx and tx? [2]

A

Inflamed epiglottis, suggestive of acute epiglottitis

Management:
- The priority of acute epiglottitis treatment is airway management by an experienced clinician trained in paediatric airways
- Abx
- IV steroids and adrenaline nebulisers
- IV fluids
- Hib Vaccination

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