Please enable JavaScript.
Coggle requires JavaScript to display documents.
Kawasaki disease (Clinical
presentation (Fever, Conjunctivitis
Bilateral…
Kawasaki disease
Clinical
presentation
-
Conjunctivitis
Bilateral, non-exudative
Red swollen hands and feet
Red rash
Truncal, well defined erythematous
Perineal, desquamating, erythematous
Red swollen tongue
Strawberry tongue
Diagnosis
Examination
Derm
Erythematous truncal/perineal rash
Erythematous, swollen hands and feet
-
Ocular
Bilateral, non-exudative conjunctivitis
-
Investigations
Bloods
FBC (high Plts), CRP/ESR (high), U+E, LFT (high bili, AST)
Autoimmune screen (nil)
-
Imaging
ECHO: may have pericardial effusion, myocardial dysfunction,
valve dysfunction, coronary aneurysms
Angiography/MRI: if coronary arteries abnormal
to define coronary aneurysms
History
-
-
POH
Bloods, scans, growth, gestation,
delivery, complications
FH
Autoimmune disease, vasculitis
PC/HPC
Fever, rashes, swollen tongue/hands/feet, conjunctivitis
SH
Living arrangements, school/nursery
-
Pathophysiology
-
Phases
Subacute
From end of fever to weeks 4-6
CA aneuryms (causing MI and death)
Digital desquamation, conjunctival injection
-
-
Management
Conservative
Information, advice, support
Admit and refer to paeds
-
-
-
-