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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Aug 31, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's this sign called and what's your diagnosis?

    I'll post the correct answer in a couple of days!

    DDx.JPG
     

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  2. Ali Asaam

    Ali Asaam Young Member

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    thumb sign of epiglotitis
     

  3. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Epiglottitis
     

  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Hypoechogenic formation during epiglottitis.
     

  5. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Thumb sign, as seen in epiglottitis.

    The sign is caused by a thickened free edge of the epiglottis, which causes it to appear more radiopaque than normal, resembling the distal thumb. Auscultation will reveal a stridor and inspiratory wheezing. The incidence has dropped considerably since the Haemophilus influenza B vaccine. It's a medical emergency; give penicillin IV and refer for emergency treatment with ENT and anaesthetic opinion.
     

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