10/25

Question 1

The most concerning complication following Kawasaki disease is

Answer 1

a coronary artery abnormality–> MI, dysrhythmias, or sudden death.

Question 2

Complete Kawasaki disease diagnostic criteria:

Answer 2

Fever >38°C for 5 days with at least 4 /5 criteria:

1. Oral mucous membrane changes: injected/fissured lips, injected pharynx, or strawberry tongue
2. Polymorphous rash
3. Extremity changes: erythema of palms or soles, edema of hands or feet, or delayed periungual desquamation
4. Cervical LAD
5. Bilateral nonexudative conjunctival injection

Incomplete Kawasaki: unexplained fever ≥5 d plus 2 to 3 clinical criteria

Question 3

Incomplete Kawasaki disease should be considered when the patient is

Answer 3

• Younger than 6 mo old + unexplained fever ≥7 d (even without any other features of Kawasaki disease)

OR

• Any age plus unexplained fever ≥5 d plus 2 to 3 clinical criteria

Question 4

___________ promptly after onset of Kawasaki reduces coronary artery aneurysms to ⅕ the prevalence.

Answer 4

IVIG

also in ED start high dose ASA

Question 5

Kawasaki disease consultation

Answer 5

pediatric rheumatologist
infectious disease specialist
cardiologist
hospitalist

Question 6

Kawasaki disease is a _________ meeting specific diagnostic criteria

Answer 6

medium-sized vessel vasculitis

Question 7

Joint Fluid Studies

Answer 7

Gram Stain
Cultures
Crystals
WBC/ cell count

Question 8

__________ is a systemic, small vessel vasculitis caused by Rickettsia rickettsii and is transmitted by various types of ticks including the Dermacentor tick.

Answer 8

Rocky Mountain Spotted Fever

*Tick born illness- rx is doxycycline

Question 9

Major complications of Sickle Cell Disease include

Answer 9

Vaso-occlusive crisis
Acute chest syndrome
Acute anemia
Aplastic crisis or transient red cell aplasia
Sequestration (splenic or hepatic)
Hemolysis
Infarction and embolic complications
Stroke and central retinal artery occlusion
Pulmonary/venous thromboembolism
Renal, hepatic, or splenic infarction
Bone infarction/avascular necrosis
Infection/Sepsis
Septic arthritis
Osteomyelitis
Priapism

Question 10

_________ is the leading cause of death in adults with Sickle Cell Disease and the second most common reason for hospitalization

Answer 10

Acute chest syndrome

Question 11

Often forgotten respiratory lab

Answer 11

ABG

Question 12

Intussusception Consult

Answer 12

Treat as a surgical diagnosis with early surgical consultation, although most cases are amenable to non-operative (enema) management.

Question 13

The classic triad of Intussusception

Answer 13

The classic triad (abdominal colic, vomiting, and currant jelly stools)

Question 14

Appropriate fluid volume for pancreatitis

Answer 14

2 L LR