Croup Laryngotracheobronchitis

• History / PE:
  Prodromal URI symptoms
  Barking cough (usually at night)
  
• Diagnosis:
  "Steeple sign" on AP film (from subglottic narrowing)
• Treatment:
  1) Supplemental oxygen, corticosteroids
  2) Racemic epinephrine
  3) ONLY intubate if patient fails to respond with epi
• Associated With:
  Parainfluenza virus type 1 (MC), 2, and 3
  RSV
  Influenza
  Adenovirus