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Megan Shuler
February 2, 2006
Case 1
18 month old male presents with 12 hour
history of increasingly labored
respirations, fever, and barking cough
Exam significant for temp 101 F,
inspiratory stridor, and suprasternal
retractions
Croup
Acute laryngotracheobronchitis
Etiology: Parainfluenza virus
Commonly affects patients aged 6 months
to 3 years during fall/winter months
Clinically barking cough with inspiratory
stridor secondary to subglottic narrowing
from soft tissue edema
Treatment typically includes Racemic epi
Radiograph findings
Steeple Sign
Case 2
3 year old female presents with fever,
worsening sore throat, and respiratory
distress
Exam reveals toxic appearing child, temp
102 F, sitting in tripod position, drooling,
and stridor
Epiglottitis
Etiology: Haemophilus influenzae B,
Streptococcus, Staph aureus
Medical emergency
Not as common due to HIB vaccine;
typical age 2 to 7 years
Radiograph Findings
Thumbprint sign on lateral neck
Case 3
Newborn with progressive respiratory
distress, scaphoid abdomen, unilaterally
diminished breath sounds, displaced PMI
Radiograph Findings
CXR shows intrathoracic bowel