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Croup — ABEM Board MCQ

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EasyPediatric emergenciesCroupABEM Board

A 2-year-old boy arrives with barky cough and noisy breathing after 2 days of rhinorrhea. Triage acuity is ESI 3; T 100.6 F, HR 132/min, RR 30/min, SpO2 97%. He has inspiratory stridor at rest and mild retractions, with no drooling. Which of the following is the most likely diagnosis?

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Correct answer: AViral croup

Barky cough, low-grade fever, and stridor without drooling in a toddler are typical for viral croup.

Reference: AAP pediatric airway guidance