A 2-year-old girl presents to the clinic with nasal congestion, cough, and hoarseness for most of the day
A 2-year-old girl presents to the clinic with nasal congestion, cough, and hoarseness for most of the day. Earlier this evening, she was fussy, and her caregiver reports that the sound of her cough changed. Vital signs are a BP of 102/60 mm Hg, HR of 140 bpm, RR of 42/min, and T of 100.9°F. She is alert and crying. On physical exam, she is acyanotic, with stridor, decreased air entry, and mild chest retractions at rest. An anteroposterior X-ray is performed and demonstrates tapering of the upper trachea. Which of the following is the most likely diagnosis? Croup Epiglottitis Foreign body aspiration Peritonsillar abscess Pertussis
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