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A 41-year-old man presents with sudden sore throat, fever, muffled voice, and difficulty swallowing. He is drooling and sitting upright leaning forward. He denies cough. Temp: 39°C. Stridor is noted on exam.
Question:What is the appropriate stepwise approach to evaluating and managing suspected adult epiglottitis?
A 41-year-old man presents with sudden sore throat, fever, muffled voice, and difficulty swallowing. He is drooling and sitting upright leaning forward. He denies cough. Temp: 39°C. Stridor is noted on exam. What is the appropriate stepwise approach to evaluating and managing suspected adult epiglottitis?
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Provide supplemental oxygen and keep patient calm
Prepare for possible airway intervention (intubation or tracheostomy)
Initiate empiric IV antibiotics (e.g., ceftriaxone + vancomycin)
Avoid throat exam or tongue depressor if epiglottitis suspected
Adjust antibiotics based on culture results and clinical response
Call for immediate ENT or anesthesia consultation
Administer corticosteroids to reduce airway edema
Order lateral neck X-ray if stable (look for “thumbprint sign”)
Admit to ICU for close monitoring and airway protection
Recognize signs of airway obstruction and urgent presentation
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Recognize signs of airway obstruction and urgent presentation
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Avoid throat exam or tongue depressor if epiglottitis suspected
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Provide supplemental oxygen and keep patient calm
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Call for immediate ENT or anesthesia consultation
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Prepare for possible airway intervention (intubation or tracheostomy)
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Order lateral neck X-ray if stable (look for “thumbprint sign”)
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pic1
7
Initiate empiric IV antibiotics (e.g., ceftriaxone + vancomycin)
media1
pic1
8
Administer corticosteroids to reduce airway edema
media1
pic1
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Admit to ICU for close monitoring and airway protection
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pic1
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Adjust antibiotics based on culture results and clinical response
