P: Kawasaki

Question 1

S&S of kawasaki:

Answer 1

Fever of 5d + one of the following

• Unilateral lymphdenopathy
• Erythema\edema of hands and feet (1st wk) -> Desquamtion (2nd wk)
• rash on trunk
• Painless, injected, non exudative conjunctivitis
• oropharyngeal mucositis (strawberry tongue) with cracked lips

Question 2

INV of kawasaki

Answer 2

• High ESR\CRP
• leukocytosis
• THROMBOCYTOSIS

Question 3

Most concerning cardiac impairement in kawasaki

Answer 3

Coronary art. Anurysm

Question 4

When is the best time to do echo?

Answer 4

At dx, 2wks, 6-8wks