Resp = croup

Question 1

presentation of croup

how does it start and evolve

Answer 1

starts with coryza and fever

then
hoarseness - vocal cord inflammation
barking cough (tracheal oedema
harsh stridor
recession etc

Question 2

when does croup tend to start/get worse?
time of day
what does this mean?

Answer 2

at night.

so dont send people home if they have presented earlier

Question 3

causes of croup

Answer 3

VIRAL
1 - parainfluenza

also rhinovirus, RSV, influenza

Question 4

what age children are most likely to get croup?

Answer 4

6months - 6 years

peak at 2 years old (autumn)

Question 5

what features indicate that croup is moderate/severe and hospital is needed?

Answer 5

stridor and recession.

if agitated/lethargy - severe

mild may only have barking cough

Question 6

first line treatment of croup

Answer 6

dexamethasone PO
or prednisolone PO
or budesonide (neb)

every 12 hours if necessary

Question 7

second line treatment of croup

Answer 7

adrenaline + O2 nebulised

this can wear off so observe for 2-3 hours

intubate if this does sort it

Question 8

differentials for stridor and fever

Answer 8

croup
epiglottitis
bacterial trachealitis

Question 9

what season is croup season?

Answer 9

autumn (september-december)