Answer 1

1.  Choice D is the correct answer.  Given the thumb print sign on x ray, drooling, and stridor this patient has epiglottis clinically.  This patient is not stable and needs his airway protected, intubation is the correct answer.  Aerosols and intramuscular injections should be avoided so the child does not get agitated and get more upper airway edema.  Heated aerosolized mist may actually make the child worse.