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SOre Throat - Dr. Agarwal

11/21/2013

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Picture
Epiglottitis?
  • If you are VERY worried about epiglottitis (patient is drooling, in tripod position, etc), LEAVE THEM ALONE. Call ENT & Anesthesia and get them to the OR.
  • If you are CONSIDERING epiglottitis, you can consider nasopharyngoscopy to look for gross abnormalities. Still a good idea to call ENT to help you out.
  • A lateral neck x-ray isn't all that helpful in epiglottitis; it has low sensitivity and low specificity. Don't hang your hat on it.
  • Cough is rare in epiglottitis. Drooling and a preference to sit up is not.
  •   "Croup" that doesn't respond to croup therapy? Consider bacterial tracheitis.
- While epiglottitis is very rare in pediatrics in the era of immunizations, the rate is stable in adults.

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  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • EMS
    • Global EM
    • Pediatric EM
    • Toxicology >
      • Tox Faculty
      • Tox Application
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • Alumni
  • STUDENTS/APPLICANTS
    • Medical Students at CMC
    • EM Acting Internship
    • Healthcare Disparities Externship
    • Resident Mentorship
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction