Tucker - Pediatric Session

Question 1

In Kawasaki disease, will you find one or multiple enlarged cervical lymph nodes?

Answer 1

Usually only one isolated node

Question 2

How can a ferritin level be helpful in diagnosing/managing an infection?

Answer 2

Ferritin is an acute phase reactant

Question 3

How would you manage a pt with Kawasaki disease in the ED?

Answer 3

Admit pt

Administer IVIG and high dose ASA

Obtain EKG and echo

Question 4

What is one of the biggest cardiovascular complications of Kawasaki disease?

Answer 4

Coronary aneurysm

Question 5

What can mimic Kawasaki disease, but with exudative conjunctivitis?

Answer 5

Adenovirus

Question 6

What are some complications of Kawasaki disease?

Answer 6

Coronary artery aneurysms (can progress to MI)

Hydrops of gallbladder

Desquamation of palms and soles

Thromocytosis and clot formation

Question 7

What laboratory value will no longer be a reliable assessment of inflammation when treating Kawasaki disease with IVIG?

Answer 7

ESR

The IVIG will cause RBCs to fall faster

Question 8

What is ALCAPA?

Answer 8

Anomalous L Coronary Artery that arises from the Pulmonary Artery

Question 9

What are possible eitologies for asymmetric septal hypertrophy (ASH)?

Answer 9

Inborn errors of metabolism

Neuromuscular disorders, including mitochondrial disease

Congenital malformation syndromes

Idiopathic

Question 10

What is the most common cause of death in pts wth idopathic hypertrophic subaortic stenosis?

Answer 10

Arrhythmia