Epiglottitis

Acute onset of high fever, sore throat, dyspnea; progresses to stridor, hoarseness, brassy cough, irritability, drooling.

1. X-ray findings: Thumb-like appearance of the epiglottis ("Thumb sign").
2. Peak age: 4 years
3. Organisms: H. Flu and Strep
4. Clinical: Abrupt onset, high fever, sore throat, drooling, head in "sniffing" position
5. Treatment: Airway management, IV Antibiotics