Exam 1 - Kawasaki disease (stage 2)

Question 1

What is considered the second stage of kawasaki disease (what is it called)?

Answer 1

Subacute phase

Question 2

On what days does the second stage of kawasaki disease (subacute phase) present?

Answer 2

Days 11-25

Question 3

Is a fever present during the second stage (subacute phase) of kawasaki disease?

Answer 3

• Fever disappears
• Most symptoms resolve

Question 4

Kawasaki disease: subacute phase (stage 2) clinical presentation

• Skin

Answer 4

Desquamation of palms and soles of feet

Question 5

Kawasaki disease: subacute phase (stage 2) clinical presentation

• Cardiac

Answer 5

• Coronary aneurysms
• CAD
• EKG abnormalities
  
  • ST depression
  • T wave flattening
  • R wave changes
  • QT and PR prolongation

Question 6

What interventions can help protect against coronary aneurysms during the subacute phase (stage 2) of kawasaki disease?

Answer 6

• Refer for echocardiogram at onset and repeat in 2 weeks
• Will be followed by cardiology for 1 year
• Prevention
  
  • IVIG
  • ASA - exception made for kawasaki disease