Thursday, July 11, 2013

7/11/2013

7/11/2013

Answers:

What strategy is used to decrease the incidence of subglottic stenosis in intubated children?  
A) Nasotracheal intubations 
B) Using uncuffed tubes 
C) Using smaller tubes 
D) All of the above 
E) None of the above

 When dealing with laryngeal lesions what are the main advantage and disadvantage of using lasers versus microdissection?
Lasers provide better homeostasis however they increase risk of scarring relative to microdissection.


MC Question:
A child with stridor presents to the ED.  A plain film of the neck is obtained which shows a "thumbprint" sign. What is the most likely diagnosis?
A) Laryngotracheobronchitis
B) Supraglottitis
C) Bacterial Tracheitis
D) Foreign Body
E) All of the above
F) None of the above
Free Response Questions:
What virus is the most common cause of Croup?

Quick Facts:
Supraglottitis (epiglottitis)
-In kids 3-6y/o.
-Primarily due to H. flu, incidence down due to vaccine.
-High mortality rate.
-Rapidly progressing, fever, difficulty breathing, severe odynophagia and drooling.
-Inspiratory stridor is a late finding.
-If suspected stop doing everything and take child calmly to OR, have trach kit ready.
-Treat w/ IV Abx (cef usually) and intubation.

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