A 2-year-old has barking cough and inspiratory stridor at rest. T 38.1°C, SpO2 96%, moderate sternal recession, drooling is absent, and immunisations

Question

A 2-year-old has barking cough and inspiratory stridor at rest. T 38.1°C, SpO2 96%, moderate sternal recession, drooling is absent, and immunisations are up to date. What is the most appropriate initial management?

Accepted Answer

Nebulised epinephrine, dexamethasone, and observation for recurrence

Answer

Blind oropharyngeal examination with a tongue depressor

Answer

Broad-spectrum antibiotics as the sole treatment

Answer

Immediate lateral neck radiograph before treatment

Answer

Oral salbutamol and discharge immediately

Croup — RCPSC EM MCQ

A 2-year-old has barking cough and inspiratory stridor at rest. T 38.1°C, SpO2 96%, moderate sternal recession, drooling is absent, and immunisations are up to date. What is the most appropriate initial management?