CLIPP 11 Flashcards
What is the differential for unilateral lymphadenopathy
reactive cervical adenitis
Kawasaki
Bacterial cervical adenitis
Cat scratch disease
Mycobacterial infection
What is the differential for strawberry tongue?
strep pharyngitis (GAS)
Kawasaki
Toxic shock syndrome (staph a)
what is the diagnstic criteria for Kawasaki?
fever >5 days plus 4 of the following 5:
Conjuctivitis
Rash (desquamative)
Adenopathy (unilateral cervical adenopathy)
Swelling of hands and feet
Changes in oral mucosa (e.g. strawberry tongue)
in kawasaki disease, what could CBC with diff show?
elevated WBC
low H&H
Thrombocytosis
in kawasaki disease, what should acute phase reactants reveal?
elevated CRP and ESR
in kawasaki, what would LFTs and albumin show?
LFTs can be elevated
albumin can be low (<3 mg/dL)
What are the 3 distinct phases of kawasaki?
Acute phase (first 10 days)
Subacute phase (10 days - 3 weeks)
Convalescent (3 weeks - ~8 weeks)
What are potential complications of kawasaki?
What phase of kawasaki is the patient at greatest risk for development of coronary aneurysm?
subacute phase (10 days - 3 weeks)
what is the treatment for kawasaki?
Aspirin and IVIG
What is the follow up care for kawasaki?
cardiology follow up
Aspirin continuation for 6-8 weeks
influenza vaccine (ASA + certain viruses [e.g. influenza] can cause Reye Syndrome)
Define a macule
Flat, discolored spot
define a papule
Small, well-defined solid palpable bump
define a vesicle
Small, well-defined, fluid-containing bump
define a pustule
Small, well-defined bump containing purulent material
