Croup: The Daily PANCE Blueprint
Which of the following is the most common cause of croup?
A. COVID
B. Measles
C. Adenovirus
D. RSV
E. Parainfluenza
Answer and topic summary
The answer is E. Parainfluenza
Croup is an upper respiratory condition with inflammation in the larynx and subglottic airway, usually caused by Parainfluenza virus. Other etiologies include RSV, adenovirus, COVID-19, measles, and, rarely, bacteria. It is common in children < 6 years old. Clinical features include fever, barking cough, stridor, hoarseness, drooling, throat pain, and difficulty swallowing. Classically, on x-ray, you may see the “steeple sign, which is subglottic narrowing. Diagnosis is clinical. Management of mild croup includes supportive care (e.g., mist, antipyretic, and fluid) plus a dose of steroids. Those with moderate to severe croup should be given steroids, nebulizer epinephrine, fluids, and oxygen.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Pulmonary ⇒ ⇒
