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Encyclopedia > Croup

This term also refers to the rump of a quadruped; see croup (Wiktionary). For the work of a casino employee, see croupier. For the 1998 Clive Owen film, see Croupier (film). ...

Croup
Classification & external resources
ICD-10 J05.0
ICD-9 464.4
DiseasesDB 13233
MedlinePlus 000959
eMedicine ped/510  emerg/370 radio/199

Croup (sometimes referred to as croup syndrome or laryngotracheobronchitis) is a respiratory disease which afflicts infants and young children, typically aged between 3 months and 3 years. The respiratory symptoms are caused by inflammation of the larynx and upper airway, with resultant narrowing of the airway. The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) is a coding of diseases and signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or diseases, as classified by the World Health Organization (WHO). ... // J00-J99 - Diseases of the respiratory system (J00-J06) Acute upper respiratory infections (J00) Acute nasopharyngitis (common cold) (J01) Acute sinusitis (J02) Acute pharyngitis (J03) Acute tonsillitis (J04) Acute laryngitis and tracheitis (J05) Acute obstructive laryngitis (croup) and epiglottitis (J050) Acute obstructive laryngitis (croup) (J051) Acute epiglottitis (J06) Acute upper... The International Statistical Classification of Diseases and Related Health Problems (most commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The Disease Bold textDatabase is a free website that provides information about the relationships between medical conditions, symptoms, and medications. ... MedlinePlus (medlineplus. ... eMedicine is an online clinical medical knowledge base that was founded in 1996. ... “Baby” redirects here. ... A male Caucasian toddler child A child (plural: children) is a young human. ... The larynx (plural larynges), colloquially known as the voicebox, is an organ in the neck of mammals involved in protection of the trachea and sound production. ...

Contents

Signs and symptoms

Croup is characterized by a harsh 'barking' cough and sneeze, inspiratory stridor (a high-pitched sound heard on inhalation), nausea/vomiting, and fever. Hoarseness is usually present. More severe cases will have respiratory distress. Stridor is a high pitched sound heard on inspiration that is indicative of airway obstruction. ... Emesis redirects here. ... An analogue medical thermometer showing the temperature of 38. ... There are two forms of respiratory distress syndrome: ARDS, which is acute (or adult) respiratory distress syndrome or infant respiratory distress syndrome which is a complication of premature birth. ...


The 'barking' cough (often described as a "seal like bark")[1] of croup is diagnostic. Stridor will be provoked or worsened by agitation or crying. If stridor is also heard when the child is calm, critical narrowing of the airway may be imminent. Stridor is a high pitched sound heard on inspiration that is indicative of airway obstruction. ... Tears trickling down the cheeks Lacrimation is the bodys process of producing tears, which are a liquid to clean and lubricate the eyes. ... Stridor is a high pitched sound heard on inspiration that is indicative of airway obstruction. ...


In diagnosing croup, it is important for the physician to consider and exclude other causes of shortness of breath and stridor, such as foreign body aspiration and epiglottitis. For other uses, see Doctor. ... Stridor is a high pitched sound heard on inspiration that is indicative of airway obstruction. ... The word Foreign means originating elsewhere or in the physiological context outside the body. ... Epiglottitis is inflammation of the cartilage that covers the trachea(windpipe). ...


On a frontal X-ray of the C-spine, the steeple sign suggests the diagnosis of croup. A front, in addition to its common dictionary meanings, may specifically refer to: a weather front, a boundary of two airmasses a military front, an area where armies are engaged in conflict a Front (Soviet Army), a major military subdivision of the Soviet Army a front organization or front company... In the NATO phonetic alphabet, X-ray represents the letter X. An X-ray picture (radiograph) taken by Röntgen An X-ray is a form of electromagnetic radiation with a wavelength approximately in the range of 5 pm to 10 nanometers (corresponding to frequencies in the range 30 PHz... In vertebrates, cervical vertebrae (singular: vertebra) are those vertebrae immediately behind (caudal to) the skull. ... In radiology, the steeple sign is a sign on a frontal X-ray of tracheal narrowing and suggestive of the diagnosis of croup. ...


Causes

Croup is most often caused by parainfluenza virus, primarily types 1 and 3, but other viral and possibly bacterial infections can also cause it. It is most common in the fall and winter but can occur year-round, with a slight predilection for males. Human parainfluenza viruses (HPIVs) are a group of four distinct serotypes of singled strand, RNA viruses. ... This article is about biological infectious particles. ... Phyla/Divisions Actinobacteria Aquificae Bacteroidetes/Chlorobi Chlamydiae/Verrucomicrobia Chloroflexi Chrysiogenetes Cyanobacteria Deferribacteres Deinococcus-Thermus Dictyoglomi Fibrobacteres/Acidobacteria Firmicutes Fusobacteria Gemmatimonadetes Nitrospirae Omnibacteria Planctomycetes Proteobacteria Spirochaetes Thermodesulfobacteria Thermomicrobia Thermotogae Bacteria (singular, bacterium) are a major group of living organisms. ...


The respiratory distress is caused by the inflammatory response to the infection, rather than by the infection itself. It usually occurs in young children as their airways are smaller and differently shaped than adults', making them more susceptible. There is some element of genetic predisposition as children in some families are more susceptible than others. A genetic predisposition is a genetic effect which influences the phenotype of an organism but which can be modified by the environmental conditions. ...


An entity known as spasmodic croup also occurs, distinct from the infectious variety, due to laryngeal spasms. In medicine, laryngospasm is an uncontrolled/involuntary muscular contraction (spasm) of the laryngeal cords. ...


Treatment

The treatment of croup depends on the severity of symptoms.


One of the simplest ways to treat croup is to inhale hot steam. This was the sole treatment for croup throughout the nineteenth and most of the twentieth century. Hospitals today use a "blowby" apparatus for this purpose. Simpler remedies include taking the child outside in moist night air, or alternatively exposing the child to steam from a hot bath or a humidifier. These techniques may help in some cases, but there is little hard evidence to support their efficacy. For the town in the Republic of Ireland, see Hospital, County Limerick. ...


Mild croup with no stridor, or stridor only on agitation, and just a cough may simply be observed, or a dose of inhaled, oral, or injected steroids may be given. When steroids are given, dexamethasone is often used, due to its prolonged physiologic effects. Stridor is a high pitched sound heard on inspiration that is indicative of airway obstruction. ... In chemistry and biology, Steroids are a type of lipid, characterized by a carbon skeleton with four fused rings. ... Dexamethasone is a potent synthetic member of the glucocorticoid class of steroid hormones. ...


Moderate to severe croup may require nebulized adrenaline in addition to steroids. Oxygen may be needed if hypoxia develops. Children with moderate or severe croup are typically hospitalized for observation, usually for less than a day. Intubation is rarely needed (less than 1% of hospitalized patients). A nebulizer with an attached inhaling apparatus In medicine, a nebulizer is a device used to administer medication to people in forms of a liquid mist to the airways. ... Epinephrine (INN) or adrenaline (BAN) is a hormone and a neurotransmitter. ... General Name, symbol, number oxygen, O, 8 Chemical series nonmetals, chalcogens Group, period, block 16, 2, p Appearance colorless (gas) pale blue (liquid) Standard atomic weight 15. ... Hypoxia is a pathological condition in which the body as a whole (generalised hypoxia) or region of the body (tissue hypoxia) is deprived of adequate oxygen supply. ... This article or section needs copy editing for grammar, style, cohesion, tone and/or spelling. ...


Prognosis

Viral croup is a self-limited disease, but can very rarely result in death from complete airway obstruction. Symptoms may last up to 7 days, but typically peak around the second day of illness. Rarely, croup can be complicated by (or confused with) an acute bacterial tracheitis, which is more dangerous. In biology, a self-limiting organism or colony of organisms limits its own growth by its actions. ... Tracheitis (also known as Bacterial tracheitis or Acute bacterial tracheitis) is a bacterial infection of the trachea and is capable of producing airway obstruction. ...


References

  1. ^ Croup - Lucile Packard Children's Hospital (2007-01-05).

Year 2007 (MMVII) is the current year, a common year starting on Monday of the Gregorian calendar and the AD/CE era in the 21st century. ... is the 5th day of the year in the Gregorian calendar. ...

External links


  Results from FactBites:
 
Croup (1061 words)
Croup is most likely to occur during the winter months and early spring, and symptoms are most severe in children younger than 3 years of age.
Croup is characterized by a loud cough that may sound like the barking of a seal and may be accompanied by fast or difficult breathing and sometimes a grunting noise or wheezing while breathing.
If the child's croup is severe and slow to respond to treatment, a neck X-ray may also be taken to rule out any other reasons for the breathing difficulty, such as a foreign object lodged in the throat or epiglottitis (an inflammation of the epiglottis, the flap of tissue that covers the windpipe).
Croup - Wikipedia, the free encyclopedia (236 words)
Croup (also called laryngotracheobronchitis) is a disease which afflicts infants and young children, typically aged between 3 months and 5 years.
Mild croup with no stridor and just the cough may just be watched or a small dose of inhaled or oral steroids may be given.
Moderate to severe croup may require airway intervention and oxygen supplementation in addition to steroids, depending on the amount of respiratory distress.
  More results at FactBites »


 
 

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