Epiglottitis Flashcards

1
Q

what is epiglottis

A

inflammation and swelling of the epiglottis and is a medical emergecny

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2
Q

what is the cause of epiglottis

A

haem influenza B

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3
Q

when should you have high suspicion of epiglottis

A

unvaccinated child

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4
Q

epiglottis presents in a similar way to croup, how can you distinguish between the two

A

epiglottis has a rapid onset compared to croup

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5
Q

list 5 features that would make you suspect epiglottis

A
unvaccinated child
sore throat
fever 
cough
difficulty swallowing 
drooling
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6
Q

what position might a child present in with epiglottis

A

tripod position

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7
Q

yes/no

high suspicion of epiglottis should investigations be performed

A

no

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8
Q

what imaging might you order if suspecting epiglottis

A

lateral neck x-ray

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9
Q

what sign might be present in a lateral neck xray when suspecting epiglottis

A

thumb print sign

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10
Q

who should you inform when you suspect epiglottis in a child

A

senior paediatrician

paeds anaesthetist

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11
Q

what does management of epiglottis ensure

A

airway is secure

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12
Q

yes/no

does management of epiglottis require intubation

A

no

however sudden airway closure may require intubations

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13
Q

where would you transfer a child with epiglottis

A

to the ICU

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14
Q

what 2 meds can be given in the management of epiglotitis

A

iv abx e.g. ceftriaxone

steroids e.g. dexamethasone

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15
Q

what is a common complication that can arise as a result of epiglottitis

A

epiglottis abscess

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16
Q

what type of orangisim is heam influenza B

gram – cocobacillus
gram + cocci
gram – bacillus
gram + bacillus

A

gram – cocobacillius