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