Apnoea, stridor and airway obstruction Children

FRCEM EXAM QuestionsCategory: December 2016Apnoea, stridor and airway obstruction Children
FRCEM Intermediate Staff asked 10 months ago

A 2-year-old boy is brought to ED by his parents with a harsh barking cough and a loud noise on inspiration heard when the child is crying. On further questioning, they tell you he has had coryzal symptoms over the past 2 – 3 days. On examination he has normal air entry, no signs of respiratory distress and his oxygen saturations are > 98%.

A. What is the most likely diagnosis in this patient? (1 mark)
B. What are the differential diagnosis? (1 mark)
C. Give one drug (including dose and route) should be given to this patient? (1 mark)

1 Answers
FRCEM Intermediate Staff answered 10 months ago

A.
Croup

B.
Foreign body inhalation
Angioedema
Bacterial tracheitis
Diphtheria
whooping cough
epiglottitis
Retropharyngeal abscess

C.
Oral dexamethasone 0.15 mg/kg