A drooling unvaccinated child sits upright with a muffled voice, high fever and a toxic appearance. What is the most likely diagnosis?

Answer and explanation

Correct answer: A. Acute epiglottitis

  1. Step 1: The picture of drooling with a muffled voice fits Acute epiglottitis.
Answer
Acute epiglottitis.
Why not the others: 'Croup': it gives a barking cough with a mild fever and the child can lie down. 'Bacterial tracheitis': it gives purulent secretions with a barking cough. 'Retropharyngeal abscess': it gives neck stiffness and difficulty swallowing.

Practise more Paediatric and obstetric cases.

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