DEN2 - Relevance to GPs? When to refer Signs of severe...

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    Croup Croup Deb Movassaghi – SHO paediatrics Deb Movassaghi – SHO paediatrics
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Overview Laryngotracheobronchitis Parainfluenza virus and others… Coryzal prodrome Stridor, hoarseness, barking cough Treatment with corticosteroids
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Differential Diagnosis Acute epiglottitis Foreign body inhalation Bacterial tracheitis
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Evidence for best practice Oral dexamethasone Nebulised budesonide Reduced severity at 6 and 12 hours Reduced length of hospital stay (A+E and in-patient) Reduction in re-presentation to medical services
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Unformatted text preview: Relevance to GPs? When to refer Signs of severe airway obstruction Respiratory distress/exhaustion Dehydration Social circumstances UNABLE TO OBTAIN DEXAMETHASONE IN COMMUNITY?? Dexamethasone Licensed for use in the community Available in tablet form or liquid Likely delay in obtaining liquid form ??unnecessary referrals to hospital Any questions?? References Cochrane review N Engl J Med 2004 Sep23,351(13) GP Notebook BMJ 1999;319:595-600...
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DEN2 - Relevance to GPs? When to refer Signs of severe...

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