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Updated: Apr 13, 2026

Image Acquisition using Portable Sonography for Emergency Airway Management
Published on: September 28, 2022
Steeple sign: a case of croup
Karen Sue Hoyt1, Sheila Sanning Shea
1St. Mary Medical Center, Long Beach, California.
Abstract:
Croup, or laryngotracheobronchitis, is a common viral respiratory tract illness seen in the pediatric population (). This article describes the case of a child who presents with croup and the characteristic "steeple sign" seen on the radiograph. The patient received a diagnosis of croup secondary to the parainfluenza virus infection. It is imperative for advanced practice nurses to recognize the signs and symptoms of croup when these patient present to emergency care settings. Advanced practice nurses must also consider possible differential diagnoses, accurately interpret the radiographs, and intervene according with supportive care and appropriate management.
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