Condition Info - BotMed Application

ConditionName

Acute epiglottitis

ConditionDescription

Symptoms

High fever, acute onset; Poor oral intake; Drooling (30%); SOB (37%);
Often unimmunized; Toxic-appearing; Respiratory distress; Stridor (12%);
Voice changing; Muffled crying (54%); Tripoding; Fever (42%);

PhysicalFindings

Cervical adenopathy (41%)

ClinicalTests

Thump sign on x-Ray (but do not order the x-Ray!);

For older kids: laryngoscopy --> cherry-red swollen epiglottis;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Inflammation which cause upper airway obstruction.
Progression: Hypoxia; Cyanosis

ProgressionFromCondition

TreatmentOptions

Try moist air breathing

Do not upset child!
Do not perform any oral exam!
Try to provide an oxygen

Immediate referral;
Never send child in the hospital in parent’s car!

PharmOptions

Only after airway secured get blood culture and IV antibiotic;
Ceftriaxone, cefuroxime;

WebLink

https://www.merckmanuals.com/en-ca/professional/ear,-nose,-and-throat-disorders/oral-and-pharyngeal-disorders/epiglottitis