Case history
Case history #1
A 2-year-old boy is brought to the emergency room by his parents in the middle of the night. He has had mild symptoms of an upper respiratory infection for 48 hours, awoke with a sudden onset of seal-like barky cough and has had inspiratory stridor when crying. The stridor disappeared at rest, but the seal-like barky cough has persisted.
Case history #2
A 3-year-old boy is brought to the emergency room by his parents in the late evening. He has developed a sudden onset of a seal-like barky cough, accompanied by clear nasal discharge. His parents became alarmed when he developed stridor, which persists throughout the trip to the hospital. On examination, he has a seal-like barky cough and inspiratory stridor when at rest, which worsens with agitation. Persistent sternal indrawing is also evident at rest.
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