Epiglottitis in the context of Breath

Croup (/kruːp/ KROOP), also known as croupy cough, is a type of respiratory infection that is usually caused by a virus. The infection leads to swelling inside the trachea, which interferes with normal breathing and produces the classic symptoms of "barking/brassy" cough, inspiratory stridor, and a hoarse voice. Fever and runny nose may also be present. These symptoms may be mild, moderate, or severe. It often starts or is worse at night and normally lasts one to two days.

Croup can be caused by a number of viruses including parainfluenza and influenza virus. Rarely is it due to a bacterial infection. Croup is typically diagnosed based on signs and symptoms after potentially more severe causes, such as epiglottitis or an airway foreign body, have been ruled out. Further investigations, such as blood tests, X-rays and cultures, are usually not needed.

The tripod position or orthopneic position is a physical stance often assumed by people experiencing respiratory distress (such as chronic obstructive pulmonary disease) or who are simply out of breath (such as a person who has just run a sprint). In tripod position, one sits or stands leaning forward and supporting the upper body with hands on the knees or on another surface. Among medical professionals, a patient adopting the tripod position is considered an indication that the patient may be in respiratory distress. In the setting of chest pain without labored respirations, the tripod position may indicate acute pericarditis.

It has been thought that the tripod position optimizes the mechanics of respiration by taking advantage of the accessory muscles of the neck and upper chest to get more air into the lungs. With the position of the arms secure, contraction of the pectoralis results in elevation of the anterior wall of the chest.

Pharyngitis is inflammation of the back of the throat, known as the pharynx. It typically results in a sore throat and fever. Other symptoms may include a runny nose, cough, headache, difficulty swallowing, swollen lymph nodes, and a hoarse voice. Symptoms usually last 3–5 days, but can be longer depending on cause. Complications can include sinusitis and acute otitis media. Pharyngitis is a type of upper respiratory tract infection.

Most cases are caused by a viral infection. Strep throat, a bacterial infection, is the cause in about 25% of children and 10% of adults. Uncommon causes include other bacteria such as gonococcus, fungi, irritants such as smoke, allergies, and gastroesophageal reflux disease. Specific testing is not recommended in people who have clear symptoms of a viral infection, such as a cold. Otherwise, a rapid antigen detection test or throat swab is recommended. PCR testing has become common as it is as good as taking a throat swab but gives a faster result. Other conditions that can produce similar symptoms include epiglottitis, thyroiditis, retropharyngeal abscess, and occasionally heart disease.

Stridor (from Latin stridere 'to grate, screech') is an extra-thoracic high-pitched breath sound resulting from turbulent air flow in the larynx or elsewhere in the upper respiratory tract. It is different from stertor, which is a snoring noise originating in the pharynx, and wheezing, which originates in the bronchi.

Stridor is a physical sign which is caused by a narrowed or obstructed airway. It can be inspiratory, expiratory or biphasic, although it is usually heard during inspiration. Inspiratory stridor often occurs in children with croup. It may be indicative of serious airway obstruction from severe conditions such as epiglottitis, a foreign body lodged in the airway, or a laryngeal tumor. Stridor should always command attention to establish its cause. Visualization of the airway by medical experts equipped to control the airway may be needed.