You are called to evaluate an ill child. The mother states that the child was fine a few hours ago but now is exhibiting, dysphonia, drooling, dysphagia, and distress. You suspect:

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The symptoms described in the scenario, including dysphonia, drooling, dysphagia, and distress suggest inflammation and swelling of the epiglottis, which is indicative of epiglottitis. Croup may present with similar symptoms, but the distinguishing factor is bark-like cough and a viral etiology. Bronchitis usually presents with cough, dyspnea, chest congestion, and a fever, and influenza A would also present with a fever and respiratory symptoms such as cough and congestion.

You Are Called to Evaluate an Ill Child