CONTENTS


signs & symptoms

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symptoms
signs

differential diagnosis

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A patient presents with both the uncommon infection uvulitis and epiglottitis https://t.co/CGVS3I1nck pic.twitter.com/46kjlY68T3

— Cleveland Clinic MD (@CleClinicMD) May 16, 2017


diagnosis

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lateral neck x-ray

Image of the Week: Epiglottitis https://t.co/GV38xKQK5L pic.twitter.com/b9Mr3dkTN5

— NEJM (@NEJM) September 3, 2019

neck CT scan
bedside nasolaryngoscopy

Flexible nasoendoscopy or nasal endoscopy is a simple diagnostic procedure performed routinely by Ear Nose & Throat Surgeons as part of a routine examination. Here, Eric performs it on himself. It’s easy as! #meded #ENTsurgery pic.twitter.com/TjxIoMFyIo

— Dr Eric Levi (@DrEricLevi) June 23, 2020

blood cultures

medical management

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antibiotics
steroid

epiglottic abscess

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diagnosis
management implications

indications for intubation

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general concepts regarding airway management in epiglottitis 
possible indications for intubation
not necessarily indications for intubation
role of flexible nasolaryngoscopy to determine need for intubation?

intubation procedure

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intubation is fraught with hazard
scenario #1:  the crashing epiglottitis patient (extremely rare!)
scenario #2:  the non-crashing epiglottitis patient

extubation procedure

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podcast

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questions & discussion

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Guide to emoji hyperlinks 🔗

Going further

References

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  • 18728917  Kim SG, Lee JH, Park DJ, et al. Efficacy of spinal needle aspiration for epiglottic abscess in 90 patients with acute epiglottitis. Acta Otolaryngol. 2009;129(7):760-767. doi:10.1080/00016480802369302  [PubMed]
  • 25931293  Lee YC, Lee JW, Park GC, Eun YG. Efficacy of Spinal Needle Aspiration in Patients with Epiglottic Abscess: A Prospective, Randomized, Controlled Study. Otolaryngol Head Neck Surg. 2015;153(1):48-53. doi:10.1177/0194599815583475  [PubMed]
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  • 27247205  Takata M, Fujikawa T, Goto R. Thumb sign: acute epiglottitis. BMJ Case Rep. 2016;2016:bcr2016214742. Published 2016 May 31. doi:10.1136/bcr-2016-214742  [PubMed]
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  • 29564363  Chen C, Natarajan M, Bianchi D, Aue G, Powers JH. Acute Epiglottitis in the Immunocompromised Host: Case Report and Review of the Literature. Open Forum Infect Dis. 2018;5(3):ofy038. Published 2018 Feb 17. doi:10.1093/ofid/ofy038  [PubMed]
  • 30207030  Baird SM, Marsh PA, Padiglione A, et al. Review of epiglottitis in the post Haemophilus influenzae type-b vaccine era. ANZ J Surg. 2018;88(11):1135-1140. doi:10.1111/ans.14787  [PubMed]
  • 30613442  Ramlatchan SR, Kramer N, Ganti L. Back to Basics: A Case of Adult Epiglottitis. Cureus. 2018;10(10):e3475. Published 2018 Oct 22. doi:10.7759/cureus.3475  [PubMed]
  • 31173373  Sideris A, Holmes TR, Cumming B, Havas T. A systematic review and meta-analysis of predictors of airway intervention in adult epiglottitis. Laryngoscope. 2020;130(2):465-473. doi:10.1002/lary.28076  [PubMed]