You are caring for a toddler with croup. Which of the following clinical manifestations would you not see with croup?
  1. Worsening symptoms at night, that improve during the day
  2. Worsening symptoms during the day that improve with sleep
  3. Harsh, brassy cough
  4. Inspiratory stridor and low grade fever
Explanation
Answer: B - All of the above are correct except worsening symptoms during the day that improve with sleep. Usually, a child develops croup after several days of respiratory infection. Croup begins with a harsh, brassy cough, sore throat and inspiratory stridor. The patient may develop a low grade fever, but in some cases the fever will get as high as 104 degrees.
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