emq 1.
|
Match each clinical vignette to the most appropriate diagnosis.
Bacterial tracheitis Croup Peritonsillar abscess Aspirated foreign body Retropharyngeal abscess Scombroid toxicity |
Acute anaphylaxis Acute epiglottitis Diptheria Hereditary angioedema |
EMQ 1.
A 4 year old child presents with a fit of coughing and choking. The symptoms have now resolved but the parents have noted a mid pitched whistling noise on both inspiration and expiration.
EMQ 2.
A 6 year old boy presents with a high fever and difficulty breathing. He has notable tracheal tug and intercostal recession, and when he coughs his parents say it sounds like a seal barking.
EMQ 3.
A 16 year old boy presents with acute neck pain and fever. The symptoms have occurred rapidly over the preceding twelve hours, and he has a hoarse muffled voice. He describes severe odynophagia and cannot regularly swallow his own secretions.
EMQ 4.
A 25 year old diabetic presents with a sore throat and high fever. He has had a sore throat for several days. He has severe torticollis and complains of pain when swallowing his secretions. He has no voice changes.
On examination his vital signs are:
HR 125 /min
BP 90/60 mmHg
RR 24 /min
Temp 38.9 oC
EMQ 5.
A 14 year old boy presents with severe dyspnoea and distress. He had eaten a plate of prawns at a birthday party 30 minutes previously. He has severe inspiratory stridor on arrival to the ED.
A 4 year old child presents with a fit of coughing and choking. The symptoms have now resolved but the parents have noted a mid pitched whistling noise on both inspiration and expiration.
EMQ 2.
A 6 year old boy presents with a high fever and difficulty breathing. He has notable tracheal tug and intercostal recession, and when he coughs his parents say it sounds like a seal barking.
EMQ 3.
A 16 year old boy presents with acute neck pain and fever. The symptoms have occurred rapidly over the preceding twelve hours, and he has a hoarse muffled voice. He describes severe odynophagia and cannot regularly swallow his own secretions.
EMQ 4.
A 25 year old diabetic presents with a sore throat and high fever. He has had a sore throat for several days. He has severe torticollis and complains of pain when swallowing his secretions. He has no voice changes.
On examination his vital signs are:
HR 125 /min
BP 90/60 mmHg
RR 24 /min
Temp 38.9 oC
EMQ 5.
A 14 year old boy presents with severe dyspnoea and distress. He had eaten a plate of prawns at a birthday party 30 minutes previously. He has severe inspiratory stridor on arrival to the ED.