ElectricAirway: Upper Airway Problems in Children
Case 3
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
A 15-month-old female is brought to the emergency room by her parents who were awakened
by the child's harsh barky cough. But, in the ER she currently has a completely normal
physical examination except for very mild rhinorrhea.
12. What is the best treatment that should be instituted?
(ANSWER)
Procedure A 
Procedure B 
Procedure D
- a. Procedure A
- b. Procedure B
- c. Procedure D
- d. Procedure D after a period of observation
13. Two nights later, the patient returns to the ER at 3 AM with her weary parents
who state that the child was normal for the 2 days between the ER visits, but again
woke the parents up with her barky cough. What is the best diagnosis for a child
with this history? (ANSWER)
- a. Acute laryngotracheobronchitis, ie, viral croup
- b. Acute spasmodic croup, ie, spasmodic croup
- c. Acute infectious bronchitis
- d. Acute infectious laryngitis
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