A 2-year-old female presents in respiratory distress. Physical examination reveals significant retractions, bilateral wheezing, macroglossia, and urticaria.
An 18-month-old male has an sudden episode of coughing and respiratory distress while playing at daycare. On arrival to the emergency room he exhibits perioral cyanosis, severe cough, and right-sided wheezing.
A 3-year-old male presents with a three day history of fever, fussiness, stiff neck, and decreased oral intake. History reveals that one week ago the child had an upper respiratory infection. A throat gram stain reveals gram positive organisms. Radiography of the lateral neck confirms the diagnosis.
A 4-year-old male presents with fever and respiratory distress. Physical examination reveals a toxic appearing child who is drooling, sitting upright, and holding his neck in a hyperextended position. The patient rapidly develops stridor and cyanosis.
Haemophilus influenzae type B if unvax, strep pyrogenes if vax
hyperextended, drooling seen in epiglottitis
A 3-year-old male presents to the emergency department in March after an episode of respiratory distress at home. His parents report he has had rhinorrhea, a mild cough, and a low grade fever for the last two days. Then suddenly, while sleeping, he developed a barky cough with an associated loud noise while breathing inward. This resolved on the way to the hospital and the child is well appearing now.