A child is brought in with high grade fever, runny nose and bark-like cough. He is also drooling.
What is the most appropriate tx for this child?
a. Corticosteroids
b. Paracetamol
c. Adrenaline nebulizer
d. IV antibiotics
e. Intubation under GA
Ans. The key is E. Intubation under GA. This is a wrong key! In epiglottitis there is no cough and bark like
cough is diagnostic of croup! So the correct key should be a. Corticosteroids. [high fever, bark-like cough
in a child suggest croup which is treated with corticosteroids. Drooling is sign of epiglottritis but some
authority say it occasionally can be present in croup though not usual].