Croup
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 23 September 2019
⏱️ 14 minutes
🧾️ Download transcript
Summary
Your first patient of the morning is an 18 month year old female patient who's brought to the clinic by her mother.
The chief complaint is cough and difficulty breathing. The patients mother states she was up all night due to the nearly constant coughing.
On exam, the girl appears very fatigued. She has a pervasive non-productive barking cough. You also notice there is tachypnea and stridor.
Her O2 saturation is 97% and her lungs are clear.
So, what's the plan?
Today on the Medgeeks podcast, we'll be discussing croup!
If you work primary care, urgent care, pediatrics, or in the emergency departmeent, then you're bound to see this! It's common and most of the time it's not that big of a deal.
But, when it is a big deal, it's a very big deal.
Today we'll share:
- How to recognize this disease process
- How to know when it is a big deal
At the end of the podcast we'll be answering a question from our listeners regarding hypertonic saline.
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Transcript
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| 0:00.0 | Your first patient of the morning is an 18-month-old little girl who's brought to your clinic by her mother. |
| 0:06.0 | The chief complaint is cough and difficulty breathing. |
| 0:09.0 | The patient's mother states that she was up all night could barely sleep due to the nearly constant coughing. |
| 0:15.2 | On exam, the girl appears very fatigued. She's being held in her mother's arms. |
| 0:19.2 | She has a pervasive, non-productive, barking cough. You also notice there's tachypnea and strider. |
| 0:25.0 | Her O2 saturation is 97% and her lungs are clear. |
| 0:29.0 | So what's the plan? Today on the med geeks |
| 0:49.5 | podcast today we're going to be talking about croup. If you work in primary care, urgent care, ER, |
| 0:55.3 | pediatrics, you're going to see croup, probably in the next three to four months. |
| 1:00.2 | It's almost a guarantee. It's common. It's not that big of a deal most of the time, but when it is a big deal it is a big deal |
| 1:07.8 | Today we're going to talk about how to recognize it. How to identify when it is a big deal? |
| 1:11.8 | What to do about it. |
| 1:13.6 | At the end of the show we got a question about hypertonic saline that was sent in from |
| 1:17.9 | AskMedgecom, so stay tuned for that. |
| 1:20.6 | But for now let's get started with croup so what is croup |
| 1:24.0 | is inflammation of the larynx trachea and sometimes even the bronchi |
| 1:29.0 | sometimes it's also called laryngeo bronchitis but that's mainly just in textbooks because it's way |
| 1:34.8 | easier just to say croup so like I said respiratory illness most commonly found in |
| 1:39.2 | children ages six to 36 months as I I said, it is common. |
| 1:44.1 | It occurs in 5% of children between the ages of 12 and 24 months. |
| 1:48.8 | Pretty rare in adults and even adolescents. |
| 1:51.6 | The incidence peaks in fall and winter, which is why I say you're probably going to encounter this in the next few months. |
... |
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