Pseudocroup

Pseudocroup: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Tracheomalacia (softening of the trachea). Respiratory System (J00-J99) Acute bacterial tracheitis (inflammation of the trachea); typical pathogens: Staphylococcus aureus, Haemophilus. Epiglottitis (epiglottitis). Respiratory tract infections, unspecified Recurrent croup – typical causative agents/triggers: viruses, allergens, inhalant noxious agents; childhood (6 LM – 6th LY/peak 2nd LY). Blood, blood-forming organs … Pseudocroup: Or something else? Differential Diagnosis

Pseudocroup: Medical History

Medical history (history of illness) represents an important component in the diagnosis of pseudocroup. Family history What is the general health of your family members? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). What symptoms have you noticed? How long have these changes been present? Have you noticed shortness of breath in … Pseudocroup: Medical History

Pseudocroup: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Examination of the lungs Auscultation (listening) of the lungs [inspiratory stridor/”hissing” or “whistling” on inhalation; over … Pseudocroup: Examination

Pseudocroup: Test and Diagnosis

Laboratory diagnosis is usually not required in pseudocroup. Second-order laboratory parameters-depending on the results of the history, physical examination, and obligatory laboratory parameters-for differential diagnostic clarification. Throat swab for pathogen detection.

Pseudocroup: Drug Therapy

Therapeutic target Relief of symptoms or freedom from symptoms. Therapy recommendations (mod. according to) Light Moderate Heavy Systemic glucocorticoids Dexamethasone (0.15 mg/kg bw p.o.) or prednisolone suppository. If rectal administration is not safe: i.v. injection of prednisolone equivalents (1-2 mg/kg bw) or Budesonide 2 mg inh. Dexamethasone (0.6 mg/kg bw p.o. or i.v.). Sympathomimetics None … Pseudocroup: Drug Therapy

Pseudocroup: Diagnostic Tests

Medical device diagnostics are usually not required. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. X-ray of the thorax (X-ray thorax/chest), in two planes.

Pseudocroup: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate pseudocroup: Acute onset of hoarseness (dysphonia), barking cough, and inspiratory stridor (whistling breathing sound on inspiration; predominantly at night). Occasional fever (<38.5°C). Usually only mild dyspnea (shortness of breath); transition to a severe course with pronounced dyspnea is possible Occasionally restlessness, anxiety Pseudo-croup is usually preceded by a … Pseudocroup: Symptoms, Complaints, Signs

Pseudocroup: Causes

Pathogenesis (development of disease) Pseudocroup is caused by parainfluenza viruses 1-4 (especially type 1, up to two-thirds of cases).The parainfluenza virus belongs to the genus of paramyxoviruses.Other possible triggers are mainly RSV viruses (respiratory syncytial virus) as well as bocaparvovirus (until 2015 bocavirus), rhinoviruses and enteroviruses. The viruses infect the mucous membranes of the nasopharynx … Pseudocroup: Causes

Pseudocroup: Therapy

General measures Calming the child Open window so that the child can breathe cool air; if necessary, stand close to the open window with the child dressed warmly If the child can swallow, then cold drinks also help Wet towels hung in the room also help to relieve (no positive effect on clinical outcome of … Pseudocroup: Therapy