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afya
Croup
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> URTI in infants/toddlers (6/12-3yr) esp in autumn Stridor - laryngeal oedema and secretions (avoid examining throat as can precipitate airway obstruction) + barking cough (worse at night), fever, coryza Mostly parainfluenza virus ''Grade severity'' ||''Mild''|''Moderate''|''Severe''| |Barking cough|Occassional|Frequent|Frequent| |Stridor at rest|none|easily audible|prominent insp| |Recession|None or mild|suprasternal and sternal|Marked| |Distress|Happy, eat, drink, play|Little|significant| |Tachcardia|No|No|with inc hypoxaemia| ''Admit if ...'' moderate or severe under 6/12 known upper ariway abN (eg Downs) uncertainty about diagnosis ''DD'' acute epiglottitis, bacterial tracheitis, peritonsillar abscess, foreign body inhalation ''Mx'' Oral Dexamethasone (0.15mg/kg stat) O2 and nebulised adrenaline if severe
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