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Virtual Pediatric Hospital: ElectricAirway: Upper Airway Problems in Children: Table of Characteristics of Viral Croup and Acute Epiglottitis ElectricAirway: Upper Airway Problems in Children

Table of Characteristics of Viral Croup and Acute Epiglottitis

Donna M. Santer, M.D., Michael P. D'Alessandro, M.D.
Peer Review Status: Externally Peer Reviewed by Lauren D Holinger, MD, Robert J. Winter, MD and the AMA


Characteristic

Viral Croup

Acute Epiglottis

Age

3 mo.-5 years

2-7 years

Organism

Viral

H. Influenza: type b

Incidence

Common

Rare

Clinical Presentation

Gradual onset
Mild URI symptoms
Barky cough
Low fever

Sudden onset
Drooling
Sitting forward
High fever

Physical Exam

Respiratory distress
Inspiratory stridor

Toxic appearance
"Hot potato voice"

X-ray and Projection

Steeple sign
A/P view

Thumb sign
Lateral view

Treatment

Humidification
Racemic epinephrine

Epiglottitis protocol

Title Page


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