Respiratory · UKMLA & AKT

Acute laryngitis and croup

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise acute laryngitis and croup — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Barking (seal-like) cough - defining symptom; turbulent airflow through narrowed subglottis
  • Hoarse voice - vocal cord mucosal inflammation
  • Inspiratory stridor - turbulent flow through narrowed subglottic airway
  • Symptoms worse at night - characteristic; key differentiator from epiglottitis
  • Low-grade fever - usually present but not high
  • No drooling, no dysphagia - important negatives distinguishing from epiglottitis
  • Affects children 6 months - 6 years; peak 1-2 years; more common in boys; autumn/winter

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