SAQ 784 – Paediatrics – retropharyngeal abscess and airway obstruction

An 18-month-old boy is brought to the ED with fever and reduced neck movement. Apart from a temperature of 38.3 C, he looks well and is playing in the cubicle. On examination he is reluctant to turn his head to the left. A lateral neck x-ray is shown.

What is the most likely diagnosis?

(Marked out of 1.0)

/ 1

What x-ray finding justifies this conclusion?

(Marked out of 1.0)

/ 1

List four (4) appropriate management steps.

(Marked out of 4.0)

/ 4

List six (6) signs that would indicate worsening airway obstruction in this child.

(Marked out of 6.0)

/ 6

Total Score: 0 / 12

Percentage: 0%