MLA Domain 5 · Presentation

Stridor

6 conditions in Finalist present this way. Work down the list and ask what would separate each one from the next — that discriminator is the exam question.

classic presentation · 3

Acute epiglottitis

Any stridor, drooling or tripod posture = impending airway obstruction → do NOT lie the patient down, examine the throat

Airway compromise / stridor

Exhaustion, cyanosis, falling GCS, silent chest = peri-arrest airway → immediate senior airway support

Croup

Severe: stridor at rest, marked recession, agitation/drowsiness, cyanosis → admit

recognised feature · 3

Anaphylaxis

Any Airway/Breathing/Circulation compromise = anaphylaxis → IM adrenaline now; biphasic reaction (recurrence hours later

Burns

Airway/inhalation injury (early intubation before swelling), circumferential burns (escharotomy), large %TBSA, electrica

Goitre & thyroid nodule

Hoarseness, fixed/hard nodule, rapid growth, cervical nodes, or stridor → suspected cancer pathway / urgent