A 7-year-old boy presents with a barking cough, hoarse voice and inspiratory stridor at rest. He is febrile at 38.5 °C but not drooling. Oxygen satura...

Question

A 7-year-old boy presents with a barking cough, hoarse voice and inspiratory stridor at rest. He is febrile at 38.5 °C but not drooling. Oxygen saturations are 96% on room air and he is not agitated. What is the most appropriate initial management?

Accepted Answer

Oral prednisolone or single-dose oral dexamethasone and observation

Answer

Nebulised adrenaline and IV ceftriaxone

Answer

Immediate intubation in theatre

Answer

Throat examination with tongue depressor to visualise cords

Answer

No treatment and discharge home immediately

au-amc MCQ (SBA): Croup

A 7-year-old boy presents with a barking cough, hoarse voice and inspiratory stridor at rest. He is febrile at 38.5 °C but not drooling. Oxygen saturations are 96% on room air and he is not agitated. What is the most appropriate initial management?