Name: Mahmoud Amro
Group: MM-401
Question 1
The typical presentation in epiglottitis includes acute occurrence of high fever, severe sore throat and
difficulty in swallowing with the sitting up and leaning forward position in order to enhance airflow.
There is usually drooling because of difficulty and pain on swallowing.
Question 2
The most commonly used system for classifying the severity of croup is the Westley score ranging from 0
to 17 points divided by five factors: stridor, retractions, cyanosis, level of consciousness, and air entry.
Westley score less than or equal to 2 indicates mild croup.
Question 3
Penicillin V, oral Children: 250 mg twice daily or 3 times daily; adolescents and adults: 250 mg 4 times
daily or 500 mg twice daily
10 days
Amoxicillin, oral 50 mg/kg once daily (max = 1000 mg); alternate:
25 mg/kg (max = 500 mg) twice daily
10 days
Benzathine penicillin G, intramuscular <27 kg: 600 000 U; ≥27 kg: 1 200 000 U 1 dose
Question 4
There are two different types of bronchitis, acute and chronic. In most cases, acute bronchitis is caused
by a virus. Chronic bronchitis is a type of chronic lung disease. People with the chronic form of bronchitis
can also get acute bronchitis by being exposed to the virus.
Question 5
Published guidelines for the diagnosis and treatment of croup advise using steroids as the mainstay
treatment for all children who present to emergency department (ED) with croup symptoms.
Dexamethasone, given orally as a single dose at 0.6 mg/kg, is highly efficacious in treating croup
symptoms.