Croup classification: Difference between revisions

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| style="background: #F5F5F5; padding: 5px;" | Decreased
| style="background: #F5F5F5; padding: 5px;" | Decreased
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" |  
| style="background: #F5F5F5; padding: 5px;" | Markedly decreased
| style="background: #F5F5F5; padding: 5px;" |  
|}
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| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Mild'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Mild'''
| style="background: #F5F5F5; padding: 5px;" | ≤2  
| style="background: #F5F5F5; padding: 5px;" | ≤2  
| style="background: #F5F5F5; padding: 5px;" | Characteristic barking [[cough]] and hoarseness
| style="background: #F5F5F5; padding: 5px;" | Characteristic barking [[cough]] and [[hoarseness]]
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|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Moderate'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Moderate'''
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| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Severe'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Severe'''
| style="background: #F5F5F5; padding: 5px;" | 6-11
| style="background: #F5F5F5; padding: 5px;" | 6-11
| style="background: #F5F5F5; padding: 5px;" | Cough, hoarseness, [[stridor]], and visible [[chest]] [[Respiratory examination|indrawing]]
| style="background: #F5F5F5; padding: 5px;" | Cough, hoarseness, stridor, and visible [[chest]] [[Respiratory examination|indrawing]]
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Respiratory Failure'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" | '''Respiratory Failure'''
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[[Category:Pediatrics]]
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[[Category:Infectious disease]]
 
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Disease]]
[[Category:Disease]]

Latest revision as of 17:30, 18 September 2017

Croup Microchapters

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Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Classification

Differentiating Croup from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.

Overview

Croup is classified by severity of symptoms. The Westley Score system quantifies symptoms from a score of 0-5. The sum of the symptom score stratifies croup into mild, moderate, severe, or indicative of total respiratory failure.

Classification of Croup

Croup is classified by severity of symptoms through the Westley score of assessing croup severity, demonstrated in the table below:[1][2]

Feature 0 1 2 3 4 5
Chest wall retraction None Mild Moderate Severe
Stridor None With agitation At rest
Cyanosis None With agitation At rest
Level of consciousness Normal Disoriented
Air entry Normal Decreased Markedly decreased


The score is aggregated into a qualitative croup classification:[1][2]

Classification Score Features
Mild ≤2 Characteristic barking cough and hoarseness
Moderate 3-5 Cough, hoarseness, and stridor
Severe 6-11 Cough, hoarseness, stridor, and visible chest indrawing
Respiratory Failure ≥12 Failure of respiratory system

References

  1. 1.0 1.1 Johnson D (2009). "Croup". BMJ Clin Evid. 2009. PMC 2907784. PMID 19445760.
  2. 2.0 2.1 Klassen TP (1999). "Croup. A current perspective". Pediatr. Clin. North Am. 46 (6): 1167–78. PMID 10629679.


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