You’re called in to your local country hospital one cold winter night. As you walk in the front door, you can hear a toddler barking away like a seal. You see that he is a 2 year old who has a harsh stridor when sitting quietly with Mum. He looks to be working quite hard with his breathing. What are you going to do and should you discharge, admit or transfer him?
However, not all is as it seems. When that pathognomonic cough doesn’t behave like croup (from Casey at BroomeDocs): http://broomedocs.com/2011/07/clinical-case-19-if-it-barks-like-a-seal-is-it-a-seal/
ruralflyingdoc 