Please enable JavaScript.
Coggle requires JavaScript to display documents.
Bacterial tracheitis (pseudomembraneous croup) (Clinical presentation…
Bacterial tracheitis
(pseudomembraneous croup)
Definition
Bacterial infection and
inflammation of the trachea
Epidemiology
RARE but dangerous
Pathophysiology
Agent
S aureus (commonest)
Mechanism
Infection and inflammation of the trachea
Results in copius airway secretions and
upper airway obstruction
Clinical
presentation
Stridor
Cough
High fever
Diagnosis
Examination
Resp
Signs of distress, cyanosis, cough
ENT
DO NOT EXAMINE THROAT
Investigations
Bedside
Obs (fever, septic)
Bloods
FBC, CRP, U+E, LFT
Blood cultures
History
FH
Resp/ENT disorders
SH
Living arrangements,
nursery/school
DH
Meds, allergies
PMH
Medical conditions
PC/HPC
Stridor, cough, fever,
acute onset
Management
Initial ABCDE
Definitive
Medical
Abx
Indication: ASAP
E.g. IV cefuroxime
Analgesia
Indication: pain, fever
E.g. paracetamol, ibuprofen
Conservative
Information, advice, support
Admission to hospital
Referral to paeds, ENT, anaesthatist ASAP
ITU and ventilation