A 9-year-old boy presents with acute onset inspiratory stridor, barking cough and hoarse voice, worse at night. He is afebrile with mild work of breat...

Question

A 9-year-old boy presents with acute onset inspiratory stridor, barking cough and hoarse voice, worse at night. He is afebrile with mild work of breathing. What is the most appropriate initial management?

Accepted Answer

Single dose of oral or nebulised corticosteroid and observation

Answer

Immediate intubation and mechanical ventilation

Answer

Broad-spectrum IV antibiotics

Answer

Bronchoscopy to exclude foreign body in all cases

Answer

Racemic adrenaline nebulisers for all mild cases only

ca-mccqe1 MCQ (SBA): Croup

A 9-year-old boy presents with acute onset inspiratory stridor, barking cough and hoarse voice, worse at night. He is afebrile with mild work of breathing. What is the most appropriate initial management?