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Pediatrics General 00cedd4a

A child with three days history of upper respiratory tract infection presents with stridor, which decreases on lying down position. What is the most probable diagnosis –

A
Acute Epiglottitis
B
Laryngotracheobronchitis
C
Foreign body aspiration
D
Retropharyngeal abscess
High-Yield Explanation
This child has : - 3 days history of upper respiratory tract infection. Followed by stridor These features suggest the diagnosis of croup. Clinical manifestations of Croup Most patients have an upper respiratory tract infection with some combination of - Rhinorrhea                A mild cough      Pharyngitis  Low-grade fever          After 1-3 days signs and symptoms of upper respiratory tract obstruction become apparent - Barking cough Hoarseness   Inspiratory stridor                            Symptoms are characteristically worse at night. Symptoms often recur with decreasing intensity for several days and resolve completely in one week. Agitation and crying aggravate the symptoms. The child may prefer to sit up in bed or be held upright. Chest X-ray Characteristic narrowing of the subglottic region known as the steeple sign.

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