Epiglottitis	Croup	Spasmotic Croup	Foreign Body
Age	3-7 yrs.	6 mos -  3 yrs	1-5 yrs	6 mos- 7 yrs
Pathogen	Bacterial  H influenza type B	Viral Parainfluenza, RSV	none necessarily	Food  Toys
Season	not seasonable	fall & winter	---	---
Onset	rapid  (2-12 hrs.)	gradual (24 - 72 hrs) preceded by UTI for several days	Abrupt (few minutes). Not UTI hx. necessarily	Acute
Temperature	102 - 107 degrees F, increased WBC	98.6-101 degrees F	no fever necessarily	none necessarily
Inflamation	epiglottis, red supraglottic,  cherry red large epiglottis	larynx, trachea	larynx, trachea	may sweel around object
Sign & Symptom	sitting up, leaning forward. Mouth open, chin forward, neck extended. Sore throat drooling muffled voice anxious(appears extremely ill) Resp. Distress: marked inspir stridor, no cough, dec. BS, retractions (maybe) Cyanosis/palor (maybe)	seal-like barking cough, stridor & hoarseness	seal-like barking cough, stridor & hoarseness Wheezing rarely	stridor, cough,  may have; wheeze, dysphagia, cyanosis, hoarseness
antibiotic	ampicillin, chloramphenicol	none	none	for secondary infection
X-ray	Supraglottic swelling. enlarged epiglottis.  Thumb sign (laateral neck)	subglottic narrowing, steeple (hourglass) sign	steeple sign	object may or may not be visible
Treatment	intubate with tracheostomy surgeon prepared	humidity, racemic epinephrine, steroids, intubation 5%	alergen avoidance	bronchoscopy object removal