Differential Diagnosis: LPC FERA.
Laryngitis, Pertussis, Croup, Foreign Body, Epiglottitis, Retropharyngeal
Abscess, Asthma
- For Laryngitis: Have you noticed any change in the voice?
- For Pertussis:
a. Have you noticed a runny nose or watering from eyes before a cough
appeared?
b. Have you noticed any additional sound along with the cough?
c. Did the baby throw up? - For Croup:
a. Have you noticed any cough?
b. Have you noticed any sound accompanying? (stridor) - For Foreign Body:
What was he doing when a cough started? - For Epiglottitis:
a. Have you noticed any difficulty swallowing?
b. Have you noticed drooling of saliva? - For Retropharyngeal Abscess: (High-grade fever + No stridor)
Have you noticed any drooling of the saliva? - For Asthma:
a. Does the baby have any allergies?
b. Have you noticed any relationship to the timings of the day?
PE: HEENT /CVS / Pulmonary
workup - CBC with differential, S/E (K+)
- X-Ray neck
- CXR
- Blood Culture