QuestionSBA
QuestionChoice
Foreign body inhalation could present with difficulty breathing and stridor. However, it would also cause a cough and not a fever.
10008243
d
Foreign body inhalation
QuestionChoice
Bacterial tracheitis is a rare but dangerous condition that presents similarly to viral croup, but the child has a high fever and rapidly progressive airway obstruction with copious thick airway secretions. It is most commonly caused by Staphylococcus aureus, typically following a viral upper respiratory tract infection. This patient does not fit this presentation, therefore this is not the correct answer.
10008244
e
Bacterial tracheitis
QuestionChoice
Tonsillitis is common in children of this age. However, it does not commonly present with drooling and difficulty breathing, unless the tonsils are sufficiently enlarged as to cause obstruction.
10008242
c
Tonsillitis
QuestionChoice
Croup is an infection of the upper airway caused by parainfluenza virus. It is most common in children between 6 months and 3 years old. It presents with a barking, seal-like cough, fever and shortness of breath. The girl in this scenario does not have a cough, therefore this answer is not correct.
10008241
b
Croup
QuestionChoice
Epiglottitis is a rapidly progressive infection causing inflammation of the epiglottis and tissues around the epiglottis that may lead to abrupt blockage of the upper airway. It is caused by Haemophilus influenza B and is most common in children between 1 and 6 years old who have not been vaccinated. It presents with a very painful throat, high fever, drooling, inspiratory stridor, and difficulty breathing. This is the correct answer as it best matches the scenario.
10008240
a
Epiglottitis
Concept
Chapter
2693
4399
Acute Epiglottitis
Topic
153
Paediatrics
14195
A 5-year-old girl is brought to A&E with new onset sore throat, drooling, and noisy inspiratory breath sounds. Her dad mentions that they do not believe in vaccines and that his daughter did not receive any vaccinations.

On examination, she is pyrexia and is sitting very still, with her mouth open. She does not have a cough.

Which of the following is the most likely diagnosis?
a