Pediatric Respiratory Distress
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Introduction
asthma
Stridor:croup, bacterial tracheitis, epiglottitis
etiology age range barky cough? prodrome fever radiography drooling sick-looking intubation? antibiotics? |
croupparainfluenza 0.5-4y yes days low grade steeple sign yes no no no |
bacterial tracheitisS. aureus, GAS 5-10y yes hours-days high tracheal exudate no yes yes yes |
epiglottitisH. influenza, type b 2-8y no minutes-hours high thumb sign yes yes yes yes |
- history
- physical exam
History
Infants may not be able to feed; older children may not be able to speak in full sentences
Physical Exam
- Tachypnea >60; retractions
- pulsus paradoxus
- wheezing, grunting, vomiting
Resources and References
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