WBR1035

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Author [[PageAuthor::Ahmed Zaghw, M.D. [1]]]
Exam Type ExamType::
Main Category
Sub Category
Prompt [[Prompt::A 3 year-old boy is brought to the emergency due to a cough and a "whistling" sound with breathing. Three days ago, he developed fever, a hoarse cry, rhinorrhea and a progressively worsening, harsh, "barky" cough. His immunizations are up-to-date. His 6-year-old brother also has cold symptoms. His temperature is 37.5C (99.5F),pulse is 140/min, and respirations are 36/min. On examination, he is conscious, in mild respiratory distress, has a dry barking cough. His pharynx is slightly injected, but without enlargement or asymmetry. The lungs are clear on auscultation. Lateral neck x-rays reveal a mildly narrowed subglottic region. What is the most likely diagnosis?]]
Answer A AnswerA::Foreign body aspiration
Answer A Explanation [[AnswerAExp::Incorrect-[[]]]]
Answer B AnswerB::Epiglottitis
Answer B Explanation [[AnswerBExp::Incorrect-[[]].]]
Answer C AnswerC::Laryngeal diphtheria
Answer C Explanation [[AnswerCExp::Incorrect-[[]]]]
Answer D AnswerD::Croup
Answer D Explanation [[AnswerDExp::Correct-[[]].]]
Answer E AnswerE::Laryngo-tracheo-broncho pneumonitis
Answer E Explanation [[AnswerEExp::Incorrect-[[]]]]
Right Answer RightAnswer::C
Explanation [[Explanation::Educational Objective:

Avascualr necrosis should be considered in patients with multiple attacks of sickle cell crisis.
Educational Objective:
References: ]]

Approved Approved::No
Keyword WBRKeyword::Drug induced myopathy, WBRKeyword::Steroid induced myopathy
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