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Laryngotracheobronchitis
PA CLin Med
10
Health Care
Graduate
09/19/2009

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Cards

Term
Define: Laryngotracheobronchitis
Definition
Croup: inflammation of the larynx, trachea, and bronchi usually from Parainfluenza virus type 1
Term
what season do you usually see croup?
Definition
fall or early winter
Term
why is croup worse at night?
Definition
bc its symptoms are due to swelling of the vocal chords and the dry heated air indoors that time of yr exacerbates the symptoms
Term

TEST Q:

what is the clinical presentation for croup?

Definition
URI then 1-2d later develops barking cough, fever, hoarsness and possibly stridor
Term
breath sound that, at rest, is a sign of respiritory distress.
Definition
stridor
Term
does croup require imaging? why might you want to order imaging?
Definition
croup doesn't require imaging for Dx, however stridor wo URI Sx may be aspiration of foreign body.
Term

TEST Q:

What is the characteristic sign on CXR for croup?

Definition
steeple sign
Term
Croup Tx:
Definition

steam baths for humidity

 

racemic epinephrin (Tx fades wn 2hrs)

 

glucocorticoids

 

cool air (reduce swelling)

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