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A 4-year-old is brought into the emeregency room by his mother. The mother states that the child had a slight cough one week ago that has since worsened. The mother states the child's cough sounds like someone barking and states that he has also had mild fevers along with rhinorrhea. The patient's vitals are significant for a fever of 100.8 F, and his physical exam reveals inspiratory stridor. What is the most likely organism responsible?
Respiratory syncytial virus
Ebstein barr virus
Influenza A virus
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A 2-year-old boy in respiratory distress is brought to the emergency department by his parents. They state that approximately one hour after putting their child to sleep, a "hacking" cough was heard from his bedroom. After entering his room the parents state their child appeared to be in distress, making a high pitched noise with every breath. Beyond a runny nose for the past few days, the child has been healthy. He has no toys in his bed or access to any other small objects. Physical exam demonstrates a 2-year-old child in respiratory distress. Which of the following choices is the proper management for this patient?
Humidified oxygen and dexamethasone; discharge if the patient improves
Discharge from the emergency department without treatment
Dexamethasome, racemic epinephrine and observation for 4 hours; discharge if stridor remits
Broncoscopy to remove a foreign body in the upper airway then discharge
Empiric intravenous (IV) antibiotics, intubate and admission