MedBugs: SAQ #305

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Case: Acute epiglottitis

A 38-year-old man self-presents to your ED with fever, sore throat and stridor. You are concerned about epiglottitis, and he is moved to the resuscitation bay. A lateral soft tissue neck X-ray is performed.

1. What are two radiological features on this X-ray that support the diagnosis of epiglottitis? 2 marks

2. Excluding epiglottitis, list four other differential diagnoses you would consider in this case. 4 marks

3. What are two pharmacological treatments with doses you would provide in the resus bay? 2 marks

4. List five additional examination features that would make you specifically concerned about a near-total airway obstruction. 5 marks

5. Comment on the utility of the following options of airway management with regard to epiglottitis. 5 marks

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