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Old 08-14-2011
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Lungs Treatment of Barking Cough and Stridor!

A fully immunized 2-year-old presents to the emergency room with several days of low-grade fever, barking cough, and noisy breathing. Over the past few hours he has developed a fever of 40C (104F) and looks toxic. He has inspiratory and expiratory stridor. The family has not noticed drooling, and he seems to be drinking without pain. Direct laryngoscopy reveals a normal epiglottis. The management of this disease process includes which of the following?

Intubation and intravenous antibiotics
Inhaled epinephrine and oral steroids
Inhaled steroids
Observation in a cool mist tent
Oral antibiotics and outpatient follow-up
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Old 08-14-2011
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inhaled steroids...
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Old 08-14-2011
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Default Acute laryengo tracheo bronchitis

B) Inhaled epinephrine and oral steriods..


Common cause

Paramyxo virus,RSV

Brassy cough

Steeple sign Xray

Humidified oxygen,adernaline nebulisation

Treatment of Barking Cough and Stridor!-230px-croup_steeple_sign.jpg
click image to enlarge
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Old 08-14-2011
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inhaled epineprine n oral steroids...?
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Old 08-14-2011
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I would go with - Observation in a cool mist tent.

Barking cough is a sign of RSV infection which is usually self limited in infants or if serious enough treated with oxygen, moist air etc. Antibiotics do not treat RSV infection.


Quote:
Originally Posted by chienpolska View Post

staccato cough: C. trachomatis

barking cough: RSV

seal-like barking cough: parainfluenza

whooping cough: B. pertusis

dry harsh cough in a young adult: mycoplasma
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Old 08-14-2011
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inhaled epinephrine and oral steroids....
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Old 08-14-2011
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Quote:
Originally Posted by usmleman2020 View Post
A fully immunized 2-year-old presents to the emergency room with several days of low-grade fever, barking cough, and noisy breathing. Over the past few hours he has developed a fever of 40C (104F) and looks toxic. He has inspiratory and expiratory stridor. The family has not noticed drooling, and he seems to be drinking without pain. Direct laryngoscopy reveals a normal epiglottis. The management of this disease process includes which of the following?

Intubation and intravenous antibiotics
Inhaled epinephrine and oral steroids
Inhaled steroids
Observation in a cool mist tent
Oral antibiotics and outpatient follow-up

i think its E... !!! cuz he has parainfluenza and he can have superimposed bacterial infection staph aureus therefore give him oral antibiotics
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Inhaled epinephrine and oral steroids

as both of drugs help to decrease swelling of airway and improve breathing
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Inhaled epinephrine and oral steroids
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inhaled epi n steriods
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Old 08-14-2011
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Cool mist tent
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I cast my vote for Inhaled epinephrine and oral steroids
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