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Questions and Answers
What is a common characteristic of croup?
What is a common characteristic of croup?
Which symptom is least likely associated with croup?
Which symptom is least likely associated with croup?
In managing a child with croup, which action should be avoided?
In managing a child with croup, which action should be avoided?
When should a child with croup be considered for hospital admission?
When should a child with croup be considered for hospital admission?
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Croup typically peaks during which seasons?
Croup typically peaks during which seasons?
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What is the primary respiratory symptom indicative of croup in children?
What is the primary respiratory symptom indicative of croup in children?
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Which of the following age ranges is most commonly affected by croup?
Which of the following age ranges is most commonly affected by croup?
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Which sign indicates that a child may be in respiratory distress due to croup?
Which sign indicates that a child may be in respiratory distress due to croup?
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During which conditions should interventions like nebulization be avoided in a child with croup?
During which conditions should interventions like nebulization be avoided in a child with croup?
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What is a typical characteristic of the onset of croup symptoms?
What is a typical characteristic of the onset of croup symptoms?
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Study Notes
Croup
- Croup is an inflammation of the larynx and trachea caused by viruses.
- It is an acute condition that typically resolves on its own.
- Children between 6 months and 3 years old are most commonly affected.
- Croup peaks in the spring and autumn, and symptoms tend to worsen at night.
- Symptoms may appear suddenly or after a cold, with other cold or flu-like symptoms present.
Croup Signs and Symptoms
- Cough: Harsh and "barking" cough.
- Mild fever: Along with a runny nose and sore throat.
- Stridor: A high-pitched whistling or noisy breathing sound, especially during inhalation.
- Respiratory distress: Includes increased respiratory rate, increased work of breathing, nasal flaring, grunting, use of accessory muscles, and stridor.
- Reduced hydration levels: Assess for signs like skin turgor, capillary refill, and urine output.
Croup Management
- Upright position: Keep the child upright and comfortable.
- Avoid interventions: Avoid procedures that may distress the child, such as bag-valve-mask ventilation (BVM), nebulization, and ear, nose, and throat (ENT) examinations.
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Hospital admission: Admit children for the following reasons:
- Time-critical assessment (Airway, Breathing, Circulation, Disability)
- Moderate to severe croup
- Respiratory rate greater than 40 breaths per minute
- All children under 6 months old.
Croup
- Inflammation around the larynx and trachea caused by viruses
- Acute, usually self-limiting illness
- Most common in children aged 6 months to 3 years
- Peaks in spring and autumn and worsens at night
- Often follows a cold, but can appear suddenly with other cold or flu symptoms
Signs and Symptoms
- Cough: harsh, barking cough
- Mild fever & runny nose: sore throat can also occur
- Stridor: high-pitched, whistling sound during breathing, especially on inhalation
- Respiratory Distress: increased respiratory rate, increased work of breathing, nasal flaring, grunting, use of accessory muscles
- Reduced hydration: assess using skin turgor, capillary refill, wet nappies/fluid intake
Management
- Keep the child upright and comfortable
- Avoid interventions that could distress the child, including bag and mask ventilation, nebulisation and ENT examination
- Hospital admission required for children with:
- Time Critical ABCD (Airway, Breathing, Circulation, Disability) issues
- Moderate to Severe Croup
- Respiratory Rate > 40 breaths per minute
- All children under 6 months old
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Description
This quiz covers essential information about croup, an inflammation of the larynx and trachea that commonly affects young children. It includes details about symptoms, management strategies, and key indicators of respiratory distress. Test your knowledge on this acute respiratory condition.
