View source for Epiglottitis

* Epiglottitis
** Severe phlegmonous infection, quickly progressing
** Important to consider it in all children with stridor
** Less common after H. influenzae vaccine
** Mostly in young children
** Etiology
*** H. influenzae
*** S. pneumoniae
** Clinical features
*** High fever
*** Inspiratory stridor
*** Odynophagia
*** Drooling
*** Leaning forward
*** No cough
** Management
*** Urgent to hospital
*** Airway may collapse rapidly, must be prepared to intubate, no inspection of the pharynx before you're prepared
*** Visualisation of inflamed epiglottis by laryngoscopy
*** IV antibiotics
** Complications
*** Abscess (rare)


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[[Category:Ear, nose, throat (ENT)]]
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