ElectricAirway: Upper Airway Problems in Children

Case 1

Donna M. Santer, M.D., Michael P. D'Alessandro, M.D.
Peer Review Status: Externally Reviewed by Lauren D Holinger, MD, Robert J. Winter, MD and the AMA

1. You decide to proceed with a more thorough physical examination of this child. You gently insert a tongue blade into his mouth and see the following . What is the possible complication of this? (ANSWER)

2. After you have completed your physical examination, you should now: (ANSWER)

• a. Send him to the radiology department for a lateral neck x-ray.
• b. Rush the patient to the OR.
• c. Keep him with his caretaker with expectant observation until personnel and equipment are ready to evaluate and treat him.

3. The child is now in the OR. There has been a discussion between the various members of the management team of the best way to now proceed. The decision is to obtain firstan x-ray. Choose the x-ray with the characteristic findings of this disease process. (ANSWER)

X-Ray A X-Ray B X-Ray C

• a. X-Ray A
• b. X-Ray B
• c. X-Ray C

4. The patient now undergoes bronchoscopy. Choose the characteristic bronchoscopy findings of this disease process. (ANSWER)

Video A Video B Video C

• a. Video A
• b. Video B
• c. Video C

5. What are the best evaluation and treatment procedures that should be carried out now? (ANSWER)

• a. Intubation/ ventilation
• b. Culturing epiglottis/ antibiotics
• c. Intubation/ ventilation/ culturing epiglottis/ antibiotics

6. What is the best long-term management of this patient? (ANSWER)

• a. Antibiotics/ direct visualization of the epiglottis/ steroids
• b. Antibiotics/ direct visualization of the epiglottis/ rifampin prophylaxis
• c. Antibiotics/ vaccination
• d. Antibiotics/ vaccination/ steroids

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Last Modified: February 26, 1997