Author: Maja Szymanska / Editor: Sarah Edwards / Codes: EC1, ResP4, SLO1, SLO2, SLO5 / Published: 08/04/2022
An 8-month-old boy is brought to ED by his parent as he developed some noisy breathing and cough yesterday, which became worse at night. The parent reports that the baby has had a runny nose for a couple of days and has been reluctant to feeding. The child is up to date with all vaccinations and has no past medical history.
On examination, he has a seal-like barky cough and inspiratory stridor when crying. On auscultation there is an equal air entry and no wheeze; stridor is only audible when baby starts to cry.
Basic observations:
- Hear Rate 150
- Respiratory Rate 40
- Blood Pressure 101/52
- Temperature 37.5
- Oxygen saturation 99%
Module Content
Acute Stridor
Children commonly present in the ED with stridor. Stridor is a sign of upper airway obstruction. An ED physician must be able to diagnose, initiate treatment, appropriately investigate, anticipate and manage complications.
The Curious Incident of the Barking Cough in the Night Time: Croup in the ED
Once you have heard the classic “croupy” cough, you won’t forget it.
Bowel Obstruction
Intestinal obstruction is an important cause of the acute abdomen, accounting for up to 5% of emergency admissions to surgical services.
6 Comments
good revision. Please also include criteria for admission and monitoring.
Useful
Very common presentation and good revision
very helpful
good
very common presentation