Approach to a cough (pediatrics) Quiz: Ace Your Exams
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A 3-year-old girl is brought to the emergency department by her parents because of increasing respiratory difficulty. The parents report a 2-day history of low-grade fever, hoarseness, and a "barking" cough that worsens at night. Today, they noticed the child was breathing faster than usual. Temperature is 38.2°C (100.8°F), heart rate is 150/min, respiratory rate is 48/min, blood pressure is 90/60 mmHg, and oxygen saturation is 82% on a non-rebreather mask. The child is lethargic and appears uncomfortable. There is accessory muscles use with subcostal and intercostal retractions. Inspiratory stridor is audible, and auscultation reveals decreased air entry bilaterally without wheezing. What is the most appropriate next step in management?
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