Answers to the following two quiz questions can be found on page XXX

QUESTION 1

This 4-year-old boy presented to the emergency department with neck pain 1 week after falling over backwards. He was complaining of pain on neck extension but had a full range of neck movements. Cervical spine radiographs were obtained (lateral view from the series is shown in figure 1). He was reassured and sent home with pain relief. A month later he re-presented as the pain had not settled. On this occasion he was reluctant to move his neck, but was otherwise well. A second set of radiographs were taken. What is the most likely diagnosis based on the second lateral cervical spine radiograph? (figure 2)

QUESTION 2

This 8-year-old boy presented with a 24-h history of sore throat, painful swallowing, pyrexia, neck stiffness and pain. On examination he looked unwell, had palpable bilateral cervical lymph nodes which were tender and a temperature of 39.5°C. The patient was appropriately assessed by senior clinical staff. Acute airway …