Acute laryngitis in children

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  • Acute laryngitis in children
In the middle of the February cold night you are arriving to a two years old child suffering from shortness of breath. As you are coming, nervous father is waiting for you in front of the family house. “Well at last! Why did it take you such a long time?! Do not even take off your shoes....“ he utters angrily and guides you right to the children’s room. The boy is lying in his bed, his back is underlaid with few pillows and he is hardly breathing and wheezing. What are you going to do?

The child does not look well, so you ask the parents why did they hesitate so long to call a medical emergency.

Wrong answer

Wrong. You can think anything you like but as a doctor you cannot dare to insult the patient and his family. Professional and calm approach toward the patient always helps the best.


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You will introduce yourself and ask about the boy’s problems. You will focus especially on a long term illnesses, vaccination, recent illnesses, illnesses in the boy’s locality and whether he is taking any medicine.

Correct answer

Correct, finding out the basic information is the first and necessary step toward the correct diagnose and treatment.


Continue

The boy does not look well and it is clear to you that you have to take a quick action. You will examine the boy straight away – especially the upper respiratory tract and thorough listening to the lungs.

Wrong answer

Wrong. When you are impulsively examining the child, you can make the situation even worse. It is better to act calmly, to find out the basic information about the child and his problems and then to proceed to the examination.


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The child is obviously upset as well as his parents, which can also make his condition worse. Thus, you calm his parents first and then you start the examination.

Wrong answer

Wrong. It is good that you want to calm him and his parents down but the thorough anamnesis should precede the physical examination.


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