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About physical examination
Airway obstruction occurs by swelling of the epiglottis and aria diglottic fold, and the excessive production of thick mucus, which may occur so in cases of sudden obstruction by a stopper secretion or larynx go spasm, this may occur when the child is examined aggressively
The Odeon phages that occurs due the inflammatory process helps the supra-glottal gap with croup
Which usually occurs after a period of several days proteome, dry cough and progressive striders characteristic presumptive diagnosis of acute supra glottides’ is clinically diagnosed based on history (toxemia characterized by an important with generally positive cultures) and physical examination.
The examination of the larynx in the emergency room can precipitate respiratory obstruction, so it is not recommended.
Lateral cervical radiograph reveals thickening of soft tissues (signal "thumb" = edematous epiglottis), but the exams should not delay initiation of therapy Children with suspected supra glottides’ should be taken directly to the emergency room because they evolve more frequency to respiratory obstruction than adults.
The treatment consists in keeping the airway open and antibiotics (50 mg / kg once daily 1)
To keep the airway patency in many cases need to tracheal intubation or intubation, which is maintained for 48 to 72 hours
Another option is to tracheotomy, which takes a longer hospitalization conflation and therefore being more rarely used. Some authors recommend that the child alleged to be taken directly to the operating room, anesthetized, epiglottis visualized for diagnostic confirmation, and proceeded intubation
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