L10: Kawasaki Disease

Question 1

Def of Kawasaki Disease

Answer 1

• It is an acute febrile systemic disease that is associated with necrotizing vasculitis of small and medium-sized arteries

Question 2

major Concern in Kawasaki Disease

Answer 2

The major concern with this illness is its tendency to affect coronary arteries

Question 3

Incidence of Kawasaki Disease

Answer 3

Question 4

Dx of Kawasaki Disease

Answer 4

Question 5

Dx of Kawasaki Disease

• Fever

Answer 5

Fever persisting >=5 days.

Question 6

Dx of Kawasaki Disease

• Eyes

Answer 6

Bilateral conjunctival injection without exudates

Question 7

Dx of Kawasaki Disease

• Lips & Rash

Answer 7

Question 8

Dx of Kawasaki Disease

• Hands & feet

Answer 8

• Erythema & edema in the acute phase
• Periungual desquamation in subacute phase

Question 9

Dx of Kawasaki Disease

• Cervical Lymphadenopathy

Answer 9

Question 10

Dx of Kawasaki Disease

• Exclusion

Answer 10

Exclusion of other diseases with similar findings e.g.: measles

Question 11

Dx of Kawasaki Disease

• Mnemonic

Answer 11

Question 12

INVx for Kawasaki Disease

Answer 12

Question 13

INVx for Kawasaki Disease

• Labs

Answer 13

Question 14

INVx for Kawasaki Disease

• ECHO

Answer 14

Question 15

DDx of Kawasaki Disease

Answer 15

Question 16

TTT of Kawasaki Disease

Answer 16

Question 17

TTT of Kawasaki Disease

• IVIG

Answer 17

Question 18

TTT of Kawasaki Disease

• Aspirin

Answer 18

Question 19

TTT of Kawasaki Disease

• IV Glucocorticoids

Answer 19

May be considered in addition to standard treatment

Question 20

TTT of Kawasaki Disease

• Use Aspirin?

Answer 20

Question 21

Always consider Kawasaki disease in small children with a rash and high fever unresponsive to antibiotics.

Answer 21

….