Croup - Croup A Review Kimberly A. Dovin, MD PGY3 Swedish...

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Croup A Review Kimberly A. Dovin, MD PGY3 Swedish Family Medicine April 27, 2004
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Objectives - Goals Diagnosis and Management of Croup Review natural history of viral croup Distinguish between and review evidence of various treatment options Determining need for outpatient vs inpatient treatment Develop a differential diagnosis Review indications for hospitalization
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Case #1 T.T. is a 27mos male who comes in w/ his very worried mother. Runny nose started 2 days ago Temp 100.3 yesterday Barking cough started this AM Now making a horrible noise when he takes a deep breath in Refuses to lie down
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Case # 1 Continued VS: 99.8F 120 22 O2 sat 96% when quiet Gen: alert, sitting in mother’s lap quietly when you enter, sees you and starts to cry you note inspiratory stridor Ears: nl TMs Nose: rhinnorhea Mouth: no exudate, tonsils normal Neck: cervical LAD Chest: expiratory wheeze, inspiratory sounds obscured, subcostal retractions worsened w/ crying CV: RRR no murmur Ext: 2+ cap refill, wwp
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Definition “A generic term” A heterogenous group of illnesses affecting the larynx, trachea, and bronchi Viral origin Characteristic cough, inspiratory stridor, hoarseness
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Epidemiology Annual incidence: 6 cases per 100 children younger than 6yoa Affects children 6mos-12yoa, peak incidence at 2yoa Boys:Girls 1.5:1 Fall and winter predominance
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Cost Leading cause of hospitalization in children younger than 4yoa $56 million annually
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Croup - Croup A Review Kimberly A. Dovin, MD PGY3 Swedish...

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