Presentation
The characteristic barking cough and hoarseness may be present, but there is no stridor at rest. A total score of 3–5 is classified as moderate croup. It presents with easily heard stridor, but with few other signs. [en.wikipedia.org]
Clinical Presentation This condition typically presents in children ages 6 to 36 months. Younger children typically present with hoarseness and a barking cough, whereas signs of lower airway disease are rarely seen. [hosppeds.aappublications.org]
The characteristic barky cough is present, but there are no other signs of viral illness. The child is perfectly fine the next morning, only to have a repeat of symptoms the next 2 or 3 nights. Hospitalization is rarely required. [medical-dictionary.thefreedictionary.com]
Most children presenting to general practitioners will fall within this category. As illustrated in Scenario 1 ( Box 3 ), there may be mild chest-wall retractions and mild tachycardia, but stridor at rest will not be present. [mja.com.au]
Entire Body System
- Intermittent Fever
FEveR Treatment of the cold stage in general simpleVene 612 Congestive FEveR Congestion of an organ may disappear with the paroxysm 627 LECTURE CI 642 LECTURE CII 659 Divisions of CoNTINUED FeverSynochasynoctus and TyphusSketch 673 LECTURE CIV 687 Aſſº [books.google.ro]
Respiratoric
- Cough
When the voice box and upper airway organs become inflamed, there is slight fever and a croupy cough. Severe inflammation causes barking, noisy inspiration and a metallic cough. [standardfirstaidcourses.ca]
Coughing is sometimes severe at night or when the child is crying or excited and happens with loud and raspy breathing. Coughing is similar to the barking of a seal. [standardfirstaidtraining.com]
As the upper airway becomes more inflamed and swollen, the child may become hoarse, with a harsh, barking cough. This loud cough, which is characteristic of croup. [ufmcpueblo.com]
Symptoms Croup features a cough that sounds like a seal barking. Most children have what appears to be a mild cold for several days before the barking cough becomes evident. [herbmuseum.ca]
As evening approaches an occasional hollow, barking, evidently painful cough is noticed and the voice is very hoarse; toward midnight the cough becomes more brazen and more frequent and the breathing difficult. [chestofbooks.com]
- Stridor
Our results show that stridor in this patient was due to dynamic inspiratory constriction of the vocal cords. [ncbi.nlm.nih.gov]
The characteristic barking cough and hoarseness may be present, but there is no stridor at rest. A total score of 3–5 is classified as moderate croup. It presents with easily heard stridor, but with few other signs. [en.wikipedia.org]
The primary distinction: stridor is a sign of airway obstruction, whereas croup is a syndrome that can cause stridor. [americannursetoday.com]
- Dry Cough
It is followed by throat pain and dry croup cough. Croup generally occurs in children and infants. Most cases clears up with home remedies in three to five days after you start treatment. [homeremediesblog.com]
- Hoover's Sign
As croup worsens, stridor may decrease considerably.Other symptoms include fever, coryza (symptoms typical of the common cold), and indrawing of the chest wall–known as Hoover's sign. [en.wikipedia.org]
- Hemoptysis
[…] cold colour coma common commonly complication congestion cough crepitation croup cure diagnosis dilatation disease doses dulness dyspnoea effusion empyema excitement existence expectoration fatal fever fluid frequently functions glottis grains heart hemoptysis [books.google.ro]
Psychiatrical
- Distractibility
Distract his attention to activities like playing games or tell a story. Let the child be as comfortable as possible. If the child is extremely uncomfortable and the symptoms are severe, consult your doctor. [tandurust.com]
Therefore oxygen saturation values will be in the normal range in the vast majority of croup cases; normal oxygen saturation values also may distract the clinician from considering whether carbon dioxide retention is occurring. [clinicaladvisor.com]
By helping your child feel safe and distracted with fun books and games you can encourage a faster healing process. ( 14 ) 6. [draxe.com]
Neurologic
- Neuralgia
[…] functions glottis grains heart hemoptysis hemorrhage hypertrophy inflammation inflammatory intermittent irritation kidneys Laennec larynx latter leeches lesion liver lung medicine mercury morbid mucous membrane muscular nature nerves nervous system neuralgia [books.google.ro]
Workup
(See Prognosis, Clinical, and Workup.) Patient education For patient education information, see the Lung Disease and Respiratory Health Center, as well as Croup. [emedicine.medscape.com]
Differential Diagnosis of Children with Severe Respiratory Symptoms Condition History Physical examination Workup Common etiologies Angioedema Detailed questioning to identify the offending antigen Swelling of face and neck Epicutaneous skin testing or [aafp.org]
Treatment
Treatment, and response to treatment, are also similar. Bacterial croup may be divided into laryngeal diphtheria, bacterial tracheitis, laryngotracheobronchitis, and laryngotracheobronchopneumonitis. [en.wikipedia.org]
Treatment Treatment for croup will depend on the severity of the symptoms. In some cases, treatment may just involve inhaling a cool mist as was done in the olden days when treatment options were limited. [medic8.com]
For children with severe respiratory distress, treatment, in a hospital setting may include a breathing treatment with racemic epinephrine. [pediatrics.about.com]
Treatment: —The treatment of the inflammatory form is simple and effectual, the entire train of symptoms may be abated in some cases by the use of aconite alone. [henriettes-herb.com]
Prognosis
(See Prognosis, Clinical, and Workup.) Patient education For patient education information, see the Lung Disease and Respiratory Health Center, as well as Croup. [emedicine.medscape.com]
Prognosis: —The prognosis is good, death seldom occurring from spasmodic croup. Treatment: —The treatment of the inflammatory form is simple and effectual, the entire train of symptoms may be abated in some cases by the use of aconite alone. [henriettes-herb.com]
Prognosis: Viral croup is usually a self-limited disease The prognosis for croup is excellent, and recovery is almost always complete. [slideshare.net]
Etiology
Among the noninfectious etiologies of this syndrome are foreign body aspiration, trauma (eg, due to intubation), and allergic reaction (eg, acute angioneurotic edema). [pedsinreview.aappublications.org]
Croup is the most common etiology for hoarseness, cough, and onset of acute stridor in febrile children. Symptoms of coryza may be absent, mild, or marked. [emedicine.medscape.com]
An allergic etiology is suspected. Antihistamines are sometimes helpful. References in periodicals archive ? Corticosteroid treatment of laryngotracheitis vs spasmodic croup in children. [medical-dictionary.thefreedictionary.com]
Epidemiology
(See Etiology, Epidemiology, Prognosis, Clinical, and Treatment.) Croup manifests as hoarseness, a seal-like barking cough, inspiratory stridor, and a variable degree of respiratory distress. [emedicine.medscape.com]
Studies suggest a specific association between croup and the novel coronavirus NL63. [ 4 ] Epidemiology Croup most often affects children aged 6 months to 3 years, with a peak incidence during the second year of life. [patient.info]
Changing epidemiology of life-threatening upper airway infections: the reemergence of bacterial tracheitis. Pediatrics. 2006;118(4):1418–1421. 22. Chan A, Langley J, Leblanc J. Interobserver variability of croup scoring in clinical practice. [aafp.org]
Pathophysiology
The most common secondary bacterial pathogens include Staphylococcus aureus, Streptococcus pyogenes, and S. pneumoniae 18. pathophysiology 19. pathophysiology • Like most respiratory infections, the initial site of infection is thought to be the nasopharynx [slideshare.net]
Pathophysiology The infection causes inflammation of the larynx, trachea, bronchi, bronchioles, and lung parenchyma. Obstruction caused by swelling and inflammatory exudates develops and becomes pronounced in the subglottic region. [merckmanuals.com]
Pathophysiology Viral upper respiratory tract infection (URTI) causes nasopharyngeal inflammation that may spread to the larynx and trachea, causing subglottal inflammation, oedema and compromise of the airway at its narrowest portion. [patient.info]
Pathophysiology Subglottic infection, inflammation and edema Tracheal edema at the most narrow aspect of a child's airway Subglottic area is 4 mm in a typical infant (and croup may decrease this to 2 mm area) Every mm of airway area lost results in a [fpnotebook.com]
Prevention
Make sure hot water vaporizers should be out of reach of children in order to help prevent accidental burns. [standardfirstaidcourses.ca]
Prevention To help prevent viral infections that can cause croup: Wash your hands frequently, especially after you blow your nose. Also, wash your hands after you care for someone who has a cough, cold or sore throat. [drugs.com]
Ways in preventing viral infections that causes croup Wash hands properly especially after blowing the nose and also wash hands thoroughly after taking care of a person who has a cold, cough or sore throat. [standardfirstaidtraining.com]
Source: BigStock Is it possible to prevent croup? There is no current vaccination to prevent croup. However, several laboratories are working diligently to develop one. The infectious virus is most commonly transmitted by coughing or sneezing. [rxlist.com]