Q:

A 6 year old child presented with drooling of saliva and severe stridor. He is febrile and sick looking. X-ray Neck in extension shows a thumb sign. Choose the single most likely diagnosis

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A 6 year old child presented with drooling of saliva and severe stridor. He is febrile and sick looking. X-ray Neck in extension shows a thumb sign. Choose the single most likely diagnosis.


  1. Croup
  2. URTI
  3. Diphtheria
  4. Acute epiglottitis

All Answers

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The key is D. Acute epiglottitis. [Drooling of saliva and stridor along with thumb sign in neck X-ray are features of acute epiglottitis].

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