Talk:Epiglottitis
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Wiki Education assignment: WikiProject Medicine Fall 2022 UCF COM
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This article was the subject of a Wiki Education Foundation-supported course assignment, between 24 October 2022 and 18 November 2022. Further details are available on the course page. Student editor(s): Nobajoe (article contribs). Peer reviewers: Oddcomb.
— Assignment last updated by DrDexterN (talk) 20:35, 14 November 2022 (UTC)
- Hello, I am a 4th-year medical student who plans on updating this article for one of my courses. I think this is an important topic historically, even despite the decrease in incidence following routine childhood vaccination. I feel this article could become even more important in the future as bacteria evolve and vaccine hesitancy persists. Future epidemics are not out of question, at which point this article would experience significant traffic, especially if cases are reported in popular press
- Here is the particular focus I will have:
- - Identifying modern trends following large-scale childhood vaccination
- - Adding more to the management section, with attention to more modern cases
- - Including a differential: peritonsillar abscess, retropharyngeal abscess, Ludwig angina, croup, foreign body, bacterial tracheitis
- A few articles I plan on using:
- https://pubmed.ncbi.nlm.nih.gov/29564363/
- - In immunocompromised patients
- - Underlying causes of immunocompromised states
- - Treatments, pathogens
- https://pubmed.ncbi.nlm.nih.gov/21106138/
- - Strep Pneumo as main cause in adults, many serotypes are covered by PPV-23, but no evidence that this vaccine helps yet
- https://pubmed.ncbi.nlm.nih.gov/20513048/
- - New portrait of patients, classically now 40-year-old urban white male
- - Patients <1 or >85 are also the more vulnerable populations now
- https://pubmed.ncbi.nlm.nih.gov/33152976/
- - Necrotizing epiglottitis, usually an adult condition, but has been reported in children
- - Function can be recovered even following partial necrosis of the epiglottis
- This is just a starting point. Please let me know if you have any thoughts!
- Nobajoe (talk) 18:51, 27 October 2022 (UTC)
- Just have you have your Ba'boldest you get to have your music music you I have to share my music ' 2A00:A041:349F:D300:244A:987D:35FB:246 (talk) 12:17, 16 March 2024 (UTC)
Hello fellow medical student! I am here to provide some feedback about your article, as I have noted some opportunities for minor improvement. Please let me know if any clarification is needed.
- Lead:
- “With vaccination [insert comma here] it is now more often caused by other bacteria”
- it is not immediately clear that Hib == H. influenzae type b
- “While, historically, young children were mostly affected, it is now more common among older children and adults” — restructure sentence to be 2 sentences
- “In the United States [insert comma here] it affects about 1.3 per”
- “In adults [insert comma here] between 1 and 4 per
- “however, if they are intubated early [insert comma here] it is less than 1%”
- Signs and symptoms:
- Stridor is a sign of upper airways obstruction — is airways plural?
- can likely reword “palpating” to more common language
- Causes:
- “Presently [insert comma here] the bacteria most often”
- lowercase graft vs host, lymphoproliferative
- last sentence is kinda confusing, please reword
- Diagnosis:
- add more citations in first paragraph for spasm, tongue depressor, etc.
- can you update the 2018 comment on ultrasound?
- what is the Halloween sign
- add links to the abscess pages
- add image of normal epiglottis in laryngoscopy
- Management:
- evidence for benefit is poor for which of the treatments?
- “initially provide coverage” — do they stop after a bit?
- (MRSA) is just an example, put “e.g.” or “primarily”
- necrotizing epiglottis — change to epiglottitis
- connect necrotizing fasciitis to epiglottitis again for clarity
- Epidemiology:
- standardize whether you use Haemophilus or Hemophilus
- Notable cases:
- mention Kim Seokjin "Jin" from BTS
Overall, I think this article meets the checklist requirements for notability, structure, clear writing, and neutrality. The sources appear to be current and well documented. There is also relevant media at appropriate sections.