Acute epiglottitis - Revision history

Aidan at 13:08, 18 August 2020

2020-08-18T13:08:38Z

← Older revision		Revision as of 13:08, 18 August 2020
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	== Background ==		==Background==

	*Infection of the epiglottis		*Infection of the epiglottis
			*See also [[chronic epiglottitis]]

	===Microbiology===		===Microbiology===
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	*Cryptogenic (now most common)		*Cryptogenic (now most common)

	== Clinical Manifestations ==		==Clinical Manifestations==

	* In children, presents with fever, irritability, and respiratory distress with or without stridor		*In children, presents with fever, irritability, and respiratory distress with or without stridor
	** Often a muffled, hoarse voice		**Often a muffled, hoarse voice
	** Cough is rare		**Cough is rare
	* In adults, presents with odynophagia and sore throat		*In adults, presents with odynophagia and sore throat
	** May also have fever, drooling, or stridor		**May also have fever, drooling, or stridor

	==Differential Diagnosis==		==Differential Diagnosis==

Aidan: Aidan moved page Epiglottitis to Acute epiglottitis

2020-08-18T13:08:22Z

Aidan moved page Epiglottitis to Acute epiglottitis

← Older revision		Revision as of 13:08, 18 August 2020
(No difference)

Aidan at 13:05, 18 August 2020

2020-08-18T13:05:34Z

@@ Line 1: / Line 1: @@
 == Clinical Manifestations ==
 ** Cough is rare
-== Investigations ==
+==Investigations==
-* Lateral neck x-ray shows thumb sign
+*Lateral neck x-ray shows thumb sign
-* Laryngoscopy
+*Laryngoscopy
-== Management ==
+==Management==
-* Ceftriaxone
+*Ceftriaxone
-* Include Staph aureus coverage if concerned for bacterial tracheitis
+*Include Staph aureus coverage if concerned for bacterial tracheitis
-* Vanco to cover resistant pneumococcus if common
+*Vanco to cover resistant pneumococcus if common
-* 7-10 days
+*7-10 days
 [[Category:Head and neck infections]]

Aidan: Text replacement - "== Presentation" to "== Clinical Manifestations"

2020-08-02T13:54:46Z

Text replacement - "== Presentation" to "== Clinical Manifestations"

← Older revision		Revision as of 13:54, 2 August 2020
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	* [[Diphtheria]]		* [[Diphtheria]]

	== ~~Presentation~~ ==		== Clinical Manifestations ==

	* Paediatric		* Paediatric

Aidan: /* Differential Diagnosis */

2019-08-17T15:10:47Z

Differential Diagnosis

← Older revision		Revision as of 15:10, 17 August 2019
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	* Thermal epiglottitis		* Thermal epiglottitis
	* Angioneurotic edema		* Angioneurotic edema
	* Retropharyngeal abscess		* [[Retropharyngeal abscess]]
	* Peritonsillar abscess		* [[Peritonsillar abscess]]
	* Uvulitis		* Uvulitis
	* Diphtheria		* [[Diphtheria]]

	== Presentation ==		== Presentation ==

Aidan: /* Etiology */

2019-08-17T15:10:30Z

Etiology

← Older revision		Revision as of 15:10, 17 August 2019
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	* Paediatric		* Paediatric
	** Haemophilus influenzae type B		** ''[[Haemophilus influenzae]]'' type B
	* Adult		* Adult
	** Streptococcus pneumoniae		** ''[[Streptococcus pneumoniae]]''
	** Streptococcus pyogenes		** ''[[Streptococcus pyogenes]]''
	** Neisseria meningitidis		** ''[[Neisseria meningitidis]]''

	== Differential Diagnosis ==		== Differential Diagnosis ==

Aidan at 15:09, 17 August 2019

2019-08-17T15:09:53Z

← Older revision		Revision as of 15:09, 17 August 2019
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	= Definition =

	* Infection of the epiglottis		* Infection of the epiglottis

	= Etiology =		== Etiology ==

	* Paediatric		* Paediatric
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	** Neisseria meningitidis		** Neisseria meningitidis

	= Differential Diagnosis =		== Differential Diagnosis ==

	* Viral croup		* Viral croup
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	* Diphtheria		* Diphtheria

	= Presentation =		== Presentation ==

	* Paediatric		* Paediatric
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	** Can also have fever, drooling, or stridor		** Can also have fever, drooling, or stridor

	= Investigations =		== Investigations ==

	* Lateral neck x-ray shows thumb sign		* Lateral neck x-ray shows thumb sign
	* Laryngoscopy		* Laryngoscopy

	= Management =		== Management ==

	* Ceftriaxone		* Ceftriaxone

Aidan at 01:07, 15 August 2019

2019-08-15T01:07:43Z

← Older revision		Revision as of 01:07, 15 August 2019
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	= ~~Epiglottitis~~ =		= Definition =

	== Definition ==

	* Infection of the epiglottis		* Infection of the epiglottis

	== Etiology ==		= Etiology =

	* Paediatric		* Paediatric
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	** Neisseria meningitidis		** Neisseria meningitidis

	== Differential Diagnosis ==		= Differential Diagnosis =

	* Viral croup		* Viral croup
Line 25:		Line 23:
	* Diphtheria		* Diphtheria

	== Presentation ==		= Presentation =

	* Paediatric		* Paediatric
Line 34:		Line 32:
	** Can also have fever, drooling, or stridor		** Can also have fever, drooling, or stridor

	== Investigations ==		= Investigations =

	* Lateral neck x-ray shows thumb sign		* Lateral neck x-ray shows thumb sign
	* Laryngoscopy		* Laryngoscopy

	== Management ==		= Management =

	* Ceftriaxone		* Ceftriaxone
Line 45:		Line 43:
	* Vanco to cover resistant pneumococcus if common		* Vanco to cover resistant pneumococcus if common
	* 7-10 days		* 7-10 days

			[[Category:Head and neck infections]]

Aidan: Aidan moved page Head and neck Epiglottitis to Epiglottitis without leaving a redirect

2019-08-15T01:07:23Z

Aidan moved page Head and neck Epiglottitis to Epiglottitis without leaving a redirect

← Older revision		Revision as of 01:07, 15 August 2019
(No difference)

Maintenance script: Imported from text file

2019-08-11T18:05:52Z

Imported from text file

New page

= Epiglottitis =

== Definition ==

* Infection of the epiglottis

== Etiology ==

* Paediatric
** Haemophilus influenzae type B
* Adult
** Streptococcus pneumoniae
** Streptococcus pyogenes
** Neisseria meningitidis

== Differential Diagnosis ==

* Viral croup
* Bacterial tracheitis
* Thermal epiglottitis
* Angioneurotic edema
* Retropharyngeal abscess
* Peritonsillar abscess
* Uvulitis
* Diphtheria

== Presentation ==

* Paediatric
** Toxic, febrile child with muffled voice and possibly tripoding
** Cough is rare
* Adult
** Odynophagia and sore throat are cardinal features
** Can also have fever, drooling, or stridor

== Investigations ==

* Lateral neck x-ray shows thumb sign
* Laryngoscopy

== Management ==

* Ceftriaxone
* Include Staph aureus coverage if concerned for bacterial tracheitis
* Vanco to cover resistant pneumococcus if common
* 7-10 days