croup

Question 1

What is croup?

Answer 1

acute infective respiratory disease affecting children 6months-2 years

Question 2

What does croup cause?

Answer 2

URTI causing oedema in larynx

Question 3

Common cause

Answer 3

parainfluenza
RSV
influenza
adenovirus

Question 4

Time course

Answer 4

usually improves in less than 48hours

Question 5

croup caused by diptheria

Answer 5

leads to epiglottitis
high mortality
vaccine means rare

Question 6

Presentation

Answer 6

increased work of breathing
barking cough
low grade fever
stridor

Question 7

management

Answer 7

fluids and rest
sit child up
oral dexamethasone - 159mg/kg

Question 8

stepwise management

Answer 8

oral dexamethasone 
oxygen 
nebulised budesonide
nebulised adrenalin
intubation and ventilation