Resp - Paed Noisy Airway - Wk7

Croup or Epiglottitis

<3YO

Slow onset of symptoms

Hx of RTI and coryza Sx

Low grade temp <38.5

Unusual cough

• croup

• epiglottitis

Croup or Epiglottitis

"refers to an infection of the upper airway, which obstructs breathing and causes a characteristic barking cough. The cough and other symptoms of croup are the result of swelling around the vocal cords (larynx), windpipe (trachea) and bronchial tubes (bronchi)."

aka laryngotracheobronchitis

• croup

• epiglottitis

Croup or Epiglottitis

Causative agents: viral

Parainfluenza virus,

Influenza virus A/B

Rhinovirus,

Respiratory syncytial virus (RSV)

• croup

• epiglottitis

Croup or Epiglottitis

Causative agents: bacterial cause

Haemophilus influenzae type b (Hib),

Streptococcus pyogenes/pneumoniae/aureus

• croup

• epiglottitis

Croup or Epiglottitis

Causative agents: viral

Parainfluenza virus,

Influenza virus A/B

Rhinovirus,

Respiratory syncytial virus (RSV)

• croup

• epiglottitis

Who am i?

"Rapidly developing inflammation of the epiglottis & adjacent tissues, due to bacterial infection, may cause life-threatening airway obstruction."

• Croup

• Epiglottitis

• Pertussis

• Bronchitis

• Asthma

Asthma or Croup/Epiglottitis?

Wheeze heard over the trachea (biphasic stridor)

• Asthma

• Croup

Croup:

Supra or Subglottic

• Supraglottic

• Subglottic

Croup or Epiglottitis

Neb Adrenaline (5mg)

PO Dextromethasone 0.3mg/kg (8mg/2ml)

• Epiglottitis

• Croup

Croup or Epiglottitis

Age: 3-7 YO

Onset: Fast

Area: supraglottic

Hx: systemically well

Cough: N/A

Drooling: Yes

Temp: High grade (>38.5)

Other: had their vaccination

• Epiglottitis

• Croup