Croup is a clinical diagnosis; most children present with acute onset of classic “seal-like” barking cough, inspiratory stridor, hoarseness, and chest wall indrawing.
Low to moderate grade fe...
Treatment is supportive; severity of illness may dictate additional measurements.
Outpatient patients with severe croup or impending respiratory failure should be transported via ambulance to...
Cool, liquid diet is better tolerated.
Frequent small feedings
Croup is usually a self-limited and mild disease, but some will need hospital care.
Avoid agitation, which...
J05.0 Acute obstructive laryngitis [croup]
J20.9 Acute bronchitis, unspecified
J38.5 Laryngeal spasm
J04.2 Acute laryngotracheitis
71186008 Croup (disorder)
85915003 Laryngotracheobronchit...
Croup outbreaks are most common in fall and winter seasons in ages 6 months to 3 years.
Inspiratory stridor is the clinically evident and should raise suspicion of croup.
Symptoms often ...
Sign up for a 10-day FREE Trial now and receive full access to all content.
Figure 266.3. Croup. Steeple sign on a soft-tissue neck radiograph.
FIG. 11.19. A child with epiglottitis. This 4-year-old girl has epiglottitis caused by Haemophilus influenzae type b. A: She prefers to sit and appears anxious. B: The child assumes the characteristic sniffing position to maximize the patency of her airway.
FIG. 11.19. A child with epiglottitis. This 4-year-old girl has epiglottitis caused by Haemophilus influenzae type b. A: She prefers to si...
FIG. 11.21. Epiglottitis. A: A swollen, cherry-red epiglottis with an endotracheal tube passing posteriorly. B: In comparison, this child has a thin, pink, uninfected epiglottis.
FIG. 11.21. Epiglottitis. A: A swollen, cherry-red epiglottis with an endotracheal tube passing posteriorly. B: In comparison, this child ...
FIG. 11.23. A: The patient has epiglottitis. The radiograph demonstrates a swollen epiglottis at the level of the hyoid bone, which is convex on both sides and appears in the shape of a thumbprint. Edema anterior to the epiglottis has obliterated the vallecula, which usually appears as an elongated black shadow. Note the marked swelling of the aryepiglottic folds, projecting inferiorly and posteriorly from the epiglottis and the arytenoid cartilages at the base of the folds. Because Haemoph...
FIG. 11.23. A: The patient has epiglottitis. The radiograph demonstrates a swollen epiglottis at the level of the hyoid bone, which is con...
FIG. 11.24. Epiglottitis. A: A normal epiglottis on a lateral neck radiograph, with the structures illustrated in B. Epiglottitis is similarly depicted radiographically (C, D).
FIG. 11.24. Epiglottitis. A: A normal epiglottis on a lateral neck radiograph, with the structures illustrated in B. Epiglottitis is simil...
<bold>Fig C 38-1 Croup.</bold> (A) Smooth, tapered narrowing (arrow) of the subglottic portion of the trachea (gothic arch sign). (B) A normal trachea with broad shouldering in the subglottic region.
<bold>Fig C 38-1 Croup.</bold> (A) Smooth, tapered narrowing (arrow) of the subglottic portion of the trachea (gothic arch sig...
Bronchiolitis due to adenovirus. The wall of this bronchiole shows an intense chronic inflammatory infiltrate, with local extension into the surrounding peribronchial tissue.
Bronchiolitis due to adenovirus. The wall of this bronchiole shows an intense chronic inflammatory infiltrate, with local extension into t...