December 1988

Oropharyngeal Examination for Suspected Epiglottitis

Author Affiliations

1935 Second St Cuyahoga Falls, OH 44221-3895

Am J Dis Child. 1988;142(12):1264-1265. doi:10.1001/archpedi.1988.02150120018012

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Sir.—I graduated from medical school in December 1943. After internship, the Army, and residency, I began full-time solo pediatric practice and have been in it ever since.

In my early days I never heard of not examining a child for epiglottitis if it was suspected, so I did it then and I have done it ever since. Of course, I write because I have never had one bit of trouble. I do not know how many patients with this condition I have seen in my 44 years in practice, but I am sure I have seen my share. Never has one patient given me any more trouble than does a patient undergoing a routine throat examination.

Recently, a patient of mine was admitted through the emergency department late at night. Because of "croupiness," a soft-tissue roentgenogram of the neck was obtained. The report was "some narrowing consistent with epiglottitis." All

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