Abstract

An 18-month-old child came to the Accident and Emergency department in the early hours of the morning with a brief history of sudden onset stridor and respiratory distress associated with a barking cough. This was his first hospital admission and he was a healthy child with normal development. He had been fully immunised for his age. The senior house officer in the department decided to perform a lateral cervical spine radiograph to establish the cause of stridor. It is important to note that as the history was typical of viral croup, a radiological examination was not necessary in this child.

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