Epiglotitis

Question 1

What is the most common cause of epiglottitis?

Answer 1

Haemophilus influenza type B

Life threatening emergency

Question 2

Why is epiglotitis rare nowadays?

Answer 2

Vaccination of all children against haemophilus

Question 3

How do children with epiglottitis present?

Answer 3

Sore throat and stridor
Drooling
Tripod position
Muffled voice
High fever
Septic and unwell appearance

Question 4

What investigations should be performed in children with epiglottitis?

Answer 4

Lateral xray of the neck
Thumb sign

Question 5

How is epiglottitis managed?

Answer 5

Do not distress the patient as can cause closure of airway
Preparation for intubation

(Additional treatment) once ariway is secure
IV ceftriaxone
Dexamethasone

Question 6

What is a common complication of epiglottitis?

Answer 6

Epiglottic abscess