emDOCs Podcast – Episode 64: Epiglottitis
Today’s podcast looks at the potentially deadly epiglottitis.
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epiglottitis
EM@3AM: Epiglottitis
A 33-year-old male presents to the ED for odynophagia and mild dyspnea. He has had pain with swallowing for the past 24 hours and it has gotten progressively worse. He is having difficulty tolerating oral secretions. VS include BP 91/49, HR 130, T 102.2 temporal, RR 25, SpO2 91% on room air. He appears toxic. The ENT exam reveals a midline uvula; cervical lymphadenopathy; soft mouth floor, and no evidence of dental infection, no neck erythema, though voice changes. He has severe pain with palpation of the hyoid bone. What’s the most likely diagnosis?
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Management of Epiglottitis in the Community Setting
How do you manage the patient in extremis with suspected epiglottitis in the community setting?
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Strep Throat Mimics: Pearls & Pitfalls
Pharyngitis accounts for a large number of Emergency Department and Urgent Care visits each year. The majority of cases are due to a viral etiology, and Group A Beta-hemolytic streptococcus accounts for 15% to 30% of cases. However, a wide array of diseases may present similarly, with several of these potentially life-threatening. This post looks at these mimics and more.
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Adult Epiglottitis Update
A practice update on adult epiglottitis in the ED.
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