child health

Question 1

Rheumatic fever findings:

Answer 1

Clients with ARF often have a recent history of sore throat from strep pharyngitis
and “JONES” criteria: Joint pain, Carditis symptoms (tachycardia, new murmur), Nodules, Erythematous rash, and Sydenham chorea. The major complication of ARF is rheumatic heart disease (heart valve damage).

Question 2

Rheumatic fever prevention:

Answer 2

The most effective
strategy to prevent acute rheumatic fever is
timely treatment of strep pharyngitis with a full
course of antibiotics.

Question 3

Kawasaki findings: .

Answer 3

The acute phase of Kawasaki
disease causes “I CRASH + Burn” findings (Irritability, conjunctivitis, Rash, Adenopathy,
Strawberry tongue, Hand and foot swelling + BURN
= fever lasting ≥5 daysT

Question 4

Kawasaki treatment:

Answer 4

Kawasaki disease is
treated with IVIG and aspirin to prevent coronary
aneurysm. Delay live vaccines (MMR, varicella)
for 11 months after IVIG therapy because IVIG suppresses the immune response.

Question 5

Coronary aneurysm:

Answer 5

Children with Kawasaki
disease are at increased risk for coronary aneurysm.
Teach caregivers the importance of follow-up echocardiograms and monitoring for subtle signs of MI, such as restlessness,
abdominal pain, vomiting, and pallor.

Question 6

Notify HCP of:

Answer 6

Recurrence of fever
Signs of aspirin toxicity (tinnitus, GI upset)
Signs of Reye syndrome (vomiting, lethargy)