upper airway Flashcards
croup bug
parainfluenza
3 mo to 3 yrs
viral prodrome
bark cough
stridor
croup
steeple sign
croup x ray
sx croup better with?
cool air
racemic epi
(think vasoconstriction helps improve sx)
Croup tx
mild: mist
mod: racemic epi, IM steriods, o2
severe: admit
bacterial tracheitis bug
s. aureus
wide age range pt usually around 4 yrs
viral illness, then second infxn
croup like sx that don’t improve
higher fever, leukocytosis
bacterial tracheitis
bacterial tracheitis workup
- xray: steeple sign
- racemic epi did not work
- tracheal culture
bacterial tracheitis tx
IV abx
f/u scope
Epiglottitis bug
h flu
age range 3-7 yrs no vax
epiglottitis
rapid onset
very sick
high spiking fever
tripoding, drooling, accessory muscles, hot potatoe voice
epiglottitis
epiglottitis dx
xray: thumb print
…but just go to OR secure airway
cherry red epiglottis while securing airway
epiglottitis tx
get airway
IV abx
retropharyngeal abcess tx
oral flora
abrupt onset very sick pt, high spiking fever, drooling, neck extended, hot potatoe voice
not epiglottitis! can be but if they have anteiror chain lymphadenopathy…mass abscess tender….
retropharyngeal abcess
retropharyngeal tx
CT, I&D, IV abx
peritonsillar abcess caused by
oral flora, uri bugs
usually over 10+ years, hot potatoe voice, sore throat, drooling, uvular deviation
peritonsillar abscess
peritonsillar abscess treatment
drain and antibiotics
croup vs bacterial tracheitis?
croup that not responding to racemic epi –> bacterial tracheitis
epiglottitis vs retropharyngeal abscess vs peritonsillar abcess
- peritonsillar see uvular deviation
- retropharyngeal LAD
