Respiratory

Question 1

croup

key words, labs and managment

Answer 1

kids 3mo-5yr in fall winter

days 1-3: runny nose, low grade fever, then hoarseness, barking cough, stridor + respiratory distress

steeple sign= narrowed ariway

75% parainfluenza virus

mild→ oral steroids 1mg/kg/day for 3 days

moderate (stridor at rest) /severe→ admit to ED, racemic epi via nebulizer, 02 prn, observe 3hrs (rebound RD)

Question 2

epiglotitis

key words, labs and managment

Answer 2

acute onset fever

difficulty speaking, swallowing

**do NOT manipulate oral cavity if drooling and RD (can obstruct airway)

NO cough

toxic appearing

thumb sign if x-ray done (usually not needed)

contacts receive rifampin prophalaxis

Question 3

MC causitive agents of epiglotitis

Answer 3

was H. influenza pre-vaccine

Hib vaccine schedule→ 3 shots by 1 yr, 4 shots by 4yr

Now see staph and strep causing