A 4 year old boy presents with fever, sore throat and stridor. Physical exam reveals T103 in an ill-appearing, drooling, stridorous child in mild respiratory distress. The next steps include:

Respuesta :

1.albuterol

2.antibiotics and airway management

3.chest X-ray

4.dexamethasone

5.observation

What should we do in emergency?

A child who presents to the emergency room with stridor most usually has croup; epiglottitis is a less common but more dangerous cause. Antibiotics and airway treatment. Younger, healthy-appearing youngsters frequently have croup, which commonly manifests as a barking ("seal") cough.

Although there is little research to back up the use of cool mist, racemic epinephrine, which is likely inferior to nebulized l-epinephrine, and steroids are all used to treat croup. In fact, epiglottitis is an emergency.

It appears in older children who have a high fever and other symptoms of illness. Drooling is one of the main clinical signs since it shows that pain and swelling are interfering with the processing of secretions.

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