Author: Abishek Ajay Kaul, Faisal Faruqi / Editor: Nick Tilbury / Codes: EC2, EP6, RC2, RP1, SLO1, SLO2, SLO3 / Published: 14/03/2023
A 67-year-old lady is brought into resus. The paramedics tell you she has been vomiting and shortly afterwards developed difficulty breathing and a new oxygen requirement. You suspect her to have acute aspiration. She is tachycardic, normotensive and tachypnoeic, on arrival. She is conscious and orientated but is markedly dysphonic. Her oropharynx looks slightly red but there is no evidence of exudate or quinsy.
She has a past medical history of hypertension and chronic obstructive pulmonary disease (COPD). She is normally mobile and independent.
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Question 1 of 3
1. Question
Which of the following features is NOT a red flag that suggests a more serious cause of sore throat?
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Question 2 of 3
2. Question
Given the presentation and concomitant systemic upset, your “spidey-sense” is now tingling,
What is the most appropriate next step in the management of this case?
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Question 3 of 3
3. Question
ENT attend rapidly and perform a bedside nasolaryngoscopy, which is pictured below:
A diagnosis of Supraglottitis is established.
Regarding Supraglottitis, which of the following is False?
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2 responses
Excellent clinical scenario
Excellent