A 2-year-old boy presents with barking cough, hoarse voice and inspiratory stridor worse at night. He is alert, has mild chest wall recession, oxygen ...

Question

A 2-year-old boy presents with barking cough, hoarse voice and inspiratory stridor worse at night. He is alert, has mild chest wall recession, oxygen saturation 97% on room air and no drooling. What is the most appropriate initial management?

Accepted Answer

Single dose oral dexamethasone and observation

Answer

Nebulised adrenaline plus IV antibiotics

Answer

Immediate intubation and ventilation in theatre

Answer

Throat examination with tongue depressor to visualise the epiglottis

Answer

Oral antihistamines and decongestants

au-amc MCQ (SBA): Croup

A 2-year-old boy presents with barking cough, hoarse voice and inspiratory stridor worse at night. He is alert, has mild chest wall recession, oxygen saturation 97% on room air and no drooling. What is the most appropriate initial management?