Question

A mother takes her 18-month-old child to the pediatrician after the toddler develops a low-grade fever overnight. The little boy also has a runny nose and a harsh, barking cough. Upon examination, the child has inspiratory stridor and mild retractions and is sitting quietly on his mother’s lap.

1. The pediatrician suspects croup, which is primarily caused by:

A. Retropharyngeal edema

B. Subglottic edema

C. Angioedema

D. Tonsillar edema

2. The child is sent home with a prescription for both oral and nebulized glucocorticoid medications. Nurses instruct the mother to call in case the child’s condition does not improve or worsens. The next morning when the mother goes to get the child up, she notes that the child continues with a harsh cough and fever. Instead of going back to the pediatrician’s office, she drives to the emergency department at a nearby hospital. The physician suspects a more serious illness and is fearful that further examination may upset the child and further increse the boy’s respiratory distress or cause complete obstruction. A lateral neck image is taken with the child on the mother’s lap. The image shows no swelling in the cervical area and no foreign object. Consequently, the emergency department physician suspects that the child may have:

A. Peritonsillar abscess

B. Bacterial tracheitis

C. Bronchopulmonary dysplasia

D. Tracheomalacia

Answer 1

1.The symptoms associated with retropharengeal edema are fever, stridor,neck pain,croup like cough,malaise ,tiredness

In subglottis edema patient may have breathing difficulties, cough is brassy

The symptoms associated with angioedema is the swelling of tissue just nebeqthbthe skull usually found in face.This can lead to stridor ,hives,inspiratory wheeze, hypoxia

The symptoms of tonsillar edema are pain, swelling, fever ,dysphagia, muffled voice

Ans:A.Retropharyngeal edema

2.In peritonsillar abscess the symptoms are fever,chills,dysphagia, muffled voice, bad breath

In bacterial tracheitis the patient will have dysnoea,fever,severe cough

In trachomalacia the patient have noisy breathing and cough. Wheezing,high sound cough

In bronchopulmonary dysplasia the patient will have wheezing, cyanosis,tachypnea,Frequent infection

Ans:Bacterial tracheitis