Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Related Subjects: |Acute Epiglottitis |Croup |Acute Tracheitis |Stridor
Important cause of stridor in a child and in the adult can be fatal too. It should be treated as a surgical emergency until the airway is examined and secured as a tracheostomy may be needed. Do not examine airway without senior anaesthetic and airways support if diagnosis considered
Croup | Tracheitis | Epiglottitis | |
Cause | Viral |
Staphylococcus aureus Streptococcus |
Haemophilus influenzae B |
Age | 6m - 3yr | Any age | 2 - 6 yr |
Onset | Gradual | Gradual | Sudden |
Pyrexia | Mild | >38oC | >38oC |
Abnormal sounds | Barking cough, stridor | Barking cough, stridor | Muffled, guttural cough |
Swallowing | Normal | Difficult | Very difficult with drooling |
Posture | Recumbent | Sitting | Tripod position |
Facies | Normal | Anxious | Anxious, distressed, toxaemic |