Laryngotracheobronchitis+(Croup)

toc

=Introduction = =Signs & Symptoms = =Diagnosis=
 * Presents in <2y/o
 * Parainfleunza, adenovirus, myxovirus, influenza A
 * Gradual onset over 24-72 hrs
 * Low grade fever/ lymphosytosis
 * Rhinorrhea,pharyngitis.
 * Barking cough, hoarse voice, inspiratory stridor.
 * Child prefers to sit up.
 * Clinical
 * Anteroposterior radiograph of neck: subglottic narrowing.

 =Treatment: = = =
 * Occasionally can be life threatening
 * Supplemental O2, cool mist.
 * If severe respiratory distress /cyanosis/retraction: nebulized racemic epinephrine ( decrease the need for tracheal intubation) repeated treatments maybe needed.
 * Corticosteroids ( dexamethasone 0.5-1 mg /kg IV or inhaled budesonide)
 * Tracheal Intubation if: physical exhaustion, increased PaCO2, thick inspissated secretion

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