Which of the following is NOT a physical appearance characteristic of a child with epiglottitis?

A child with epiglottitis typically presents with several notable physical characteristics that are important for identification. Hoarseness, drooling, and difficulty swallowing are all common signs of the condition.

Hoarseness occurs due to swelling of the epiglottis, which can affect the voice as the airway becomes obstructed. Drooling is often seen in these children because they may have difficulty swallowing due to throat pain and airway obstruction, making it easier for them to let saliva accumulate rather than attempt to swallow. Difficulties in swallowing arise from the inflammation and swelling affecting the structures around the throat, which can lead to significant pain and discomfort.

In contrast, bright red cheeks are not a characteristic manifestation of epiglottitis. While a child may exhibit overall signs of distress or fever during illness, bright red cheeks are more commonly associated with other infectious processes, such as slap-cheek disease or scarlet fever, and do not specifically relate to the inflammation seen in epiglottitis. Thus, the lack of this particular symptom aligns with the understanding of the condition's typical presentation.