Epiglottitis

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Clinical findings of apprehension, anxiety, sitting up with chin pushed forward and significant inspiratory difficulties.

A patient with epiglottitis may have a fever, sore throat, difficulty swallowing, and difficulty breathing.

Lateral neck x-ray can establish the diagnosis, but is rarely needed to do so.

It is mainly caused by Haemophilus influenzae bacteria.

It is considered a medical emergency, because of the risk of obstruction of the pharynx.

Managed with antibiotics, epinephrine bronchodilator that is delivered by aerosol, and may require tracheal intubation or a tracheostomy if breathing is difficult.

Vaccination against H. Influenzae has resulted in a lower incidence of epiglottitis and lower mortality associated with epiglottitis and pneumonia in children.

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