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nuke
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Paediatric Respiratory Diseases blasted
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12.18.03 (4 years ago)
#1
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Acute epiglottis is due to Haemophilus influenza type B infection. It is characterised by sudden onset, high fever, continuous stridor and drooling of secretions. Intravenous antibiotics, anaesthetic support are usually indicated.
Croup usually occurs in epidemics in autumn or spring. Causative viruses are Parainfluenza (types 1,2,or 3), respiratory syncytial viruses and measles virus. Onset is over a few days, stridor is harsh and occurs only when child is upset. A barking cough, harsh voice and ability to swallow secretions are typical.
Whooping cough is caused by Bordetella pertussis infection. bouts of coughing ending in vomiting, especially at night and after feeding suggest the diagnosis. The characteristic whoop, forced inspiration through a closed glottis may or may not be present. Absolute lymphocytosis is common. Complications include CNS haemorrhages, rectal prolapse and bronchiectasis.
Acute bronchiolitis is very common in infancy. In winter epidemics of respiratory syncytial virus infection are the commonest cause. wheeze, cough, fever and respiratory distress are common. Chest X ray shows hyperinflation.
Pneumonia may occur at any age. Patients present with fever, tachypnoea, feeding difficulties and cyanosis. Examination reveals bronchial breath sounds and crepitations. Chest X ray may show consolidation. Common organisms are pneumococcus, haemophilus, staphylococcus, mycoplasma, TB and viruses.
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mad580
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09.25.04 (4 years ago)
#2
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Dear Dr. I would like to talk about a very bad exp of one of my collegue who has one baby with epiglotitis when he tried to intubated him ER but faild ,the baby died during the intubation.
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soobasschan
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Paediatrics
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10.16.04 (4 years ago)
#3
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what is the difference beween croup and false croup 
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bookworm
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11.14.04 (4 years ago)
#4
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WHATS A FALSE CROUP
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drkbravva
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09.17.05 (3 years ago)
#5
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croup (croup) (kr[ldbomac]p) a condition resulting from acute partial obstruction of the upper airway, seen mainly in infants and children; characteristics include resonant barking cough, hoarseness, and persistent stridor. It may be caused by a viral infection (usually a parainfluenzavirus), a bacterial infection (usually Staphylococcus aureus, Streptococcus pneumoniae, or Streptococcus pyogenes), an allergy, a foreign body, or new growth.
bacterial croup, see under tracheitis.
false croup, laryngismus stridulus.
membranous croup, pseudomembranous croup, bacterial tracheitis.
spasmodic croup, laryngismus stridulus.
croupous (croup·ous) (kroo˘p[schwa]s) pertaining to or similar to croup.
croupy (croupy) (kr[ldbomac]p˘e) affected with or resembling croup.
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drkbravva
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09.17.05 (3 years ago)
#6
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false croup, laryngismus stridulus
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irelandtras
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09.19.05 (3 years ago)
#7
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| mad580 wrote: |
| Dear Dr. I would like to talk about a very bad exp of one of my collegue who has one baby with epiglotitis when he tried to intubated him ER but faild ,the baby died during the intubation. |
That is a Vitium Artis as far as I am concerned. A patient suspected of having epiglotitis should not be intubated! In any case the patient of your colleague should not have died as he/she could have performed a temporary tracheotomy just to save the patients, introduce appropriate medication and that would have done the job. But, I suppose, we are all generals after the battle.
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WizardOfOz
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10.27.05 (3 years ago)
#8
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I do not agree with the last post. Establishing an airway by nasotracheal intubation or less commonly, by tracheostomy is indicated in patients with epiglottitis , regardless of the respiratory distress as 6% of children without an artificial airway die as compared with < 1% without one.
Hence intubation is an valid option.
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jayanta
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PEDIATRICS-NEONATOLOGY
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01.11.06 (2 years ago)
#9
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GREAT WORK DONE-MAN. 
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