A 7-year-old child is brought to the ER at midnight by his mother after symptoms appeared abruptly. The nurse’s initial assessment reveals a temperature of 104.5F (40.3C), difficulty swallowing, drooling, absence of a spontaneous cough, and agitation.
These symptoms are indicative of which one of the following?
A . Acute tracheitis
B . Acute spasmodic croup
C . Acute epiglottis
D . Acute laryngotracheobronchitis
Answer: C
Explanation:
(A) Clinical manifestations of acute tracheitis include a 2C3 day history of URI, croupy cough, stridor, purulent secretions, high fever.
(B) Clinical manifestations of spasmodic croup include a history of URI, croupy cough, stridor, dyspnea, low-grade fever, and a slow progression. The age group most affected is 3 months to 3 years.
(C) Three clinical observations have been found to be predictive of epiglottitis: the presence of drooling, absence of spontaneous cough, and agitation. Epiglottitis has a rapid onset that is accompanied by high fever and dysphagia.
(D) Clinical manifestations of acute laryngotracheobronchitis (LTB) include slow onset with a history of URI, low-grade fever, stridor, brassy cough, and irritability.