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The severity of croup can be described by a clinical scoring system, the most extensively studied being the Westley croup score. No matter which system is used to assess severity, the two most critical features are the presence of chest wall retractions and stridor at rest.
The Westley croup score is made up of the following items from the clinical exam:
References
Westley CR et al.
Nebulized racemic epinephrine by IPPB for the treatment of croup: a double-blind study.
Am J Dis Child. 1978;132(5):484-7.
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