Epiglottitis

Revisión del 05:14 22 jun 2011 de Jswartz (discusión | contribs.) (Created page with "==Background== *Etiology **Strep, staph, H. flu (unvaccinated), candida (immunosuppressed) **Caustic burns ==Diagnosis== *Abrupt onset of fever, drooling, sore throat **May prog...")
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Background

  • Etiology
    • Strep, staph, H. flu (unvaccinated), candida (immunosuppressed)
    • Caustic burns

Diagnosis

  • Abrupt onset of fever, drooling, sore throat
    • May progress rapidly to stridor, respiratory distress

Work-Up

  • Lateral neck xray
    • Only obtain if dx uncertain
    • "Thumb sign"

Treatment

  • O2
  • Epinephrine (nebulized)
  • Steroids
  • Abx
    • Cefuroxime or CTX + vanco

Disposition

  • Admit

Source

Tintinalli