Your 8-year-old daughter wakes you up in the middle of the night complaining of severe coughing. You bring the child to the doctor the next day and upon examination, the following is revealed: noisy breathing on inspiration, flaring of the nostrils, marked retractions of the chest wall, and a severe barking cough. She has also developed an upper respiratory tract infection.
What would be the best diagnosis for the patient?
A- Asthma
B- Bronchiolitis
C- Foreign body stuck in the main bronchus
D- Viral croup
Answer
The child is suffering from a viral croup. A barking cough is the most common symptom of a viral croup. A viral croup is also an infection of the upper respiratory tract, thus best-fitting the symptoms the child is having.
The correct answer is D
Thank you subhash
Thank you Elan
Viral croup
barking Cough+inspiratory stridor in a kid is a classical presentation of Croup
Thank you Vera
Thank you Goran
Thank you Emmanuel
D viral croup
D
Viral croup
Thank you Melvyn
The answer is B.Bronchiolitis which affects people of any age being severe in infants with increasing coryza and congestion in an acute manner over 48hours with nasal flaring and retraction.
Thank you Tanvi
Thank you Elan
Viral croup
Answer is “Viral croup”
Thank you Maham
Answer: D
Clues… 8yr old, barking cough.
Age excludes bronchiolitis, and she is old enough to exclude foreign body. Asthma should have some history regarding breathlessness or aspirin use etc.