Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
|
What is the rash in kawasaki syndrome called? Why?
|
Polymorphous - it can assume a variety of forms in different patients
|
|
|
What are the 5 diagnostic criteria for kawasaki syndrome?
|
-Fever of 5 days with no other etiology
-Bilateral nonpurulent conjunctivitis -Mucosal involvement - chapped lips -Edema/red hands and feet in acute -Polymorphous rash on trunk -Cervical lymphadenopathy |
|
|
What happens to the erythema and edema of the hands/feet in subacute kawaski?
|
They desquamate at the periungual areas
|
|
|
What develops by day 10 in kawasaki syndrome?
|
Thrombocytosis - platelets skyrocket above 450,000 and remain for several weeks
|
|
|
What IS kawasaki?
|
Generalized vasculitide with unknown cause by probably infectious
|
|
|
In what age group/sex is Kawasaki more common?
|
<5 yrs old
Slightly more boys |
|
|
What is the most serious potential kawasaki complication?
|
Coronary aneurysm
|
|
|
What age group is most likely to not develop sufficient diagnostic criteria? Why is this important?
|
Infants - these are the most likely to get coronary aneurysms
|
|
|
What 4 CBC levels are typical in kawasaki?
|
-Normocytic anemia
-Leukocytosis -Elevated ESR/CRP |
|
|
What UA/CSF findings support it?
|
-Sterile pyuria
-Pleiocytosis in CSF |
|
|
What is the treatment for kawasaki syndrome?
|
-High dose aspirin initially then 6-8 weeks of thrombotic prophylaxis
-IVIG |
|
|
What % of kawasaki patients develop coronary artery dilation and giant aneurysms?
|
5% dilation
1% giant aneurysm |
|
|
What majorly important thing must you remember in Kawasaki patients at follow up visits?
|
NO live vaccines for 11 months following IVIG therapy - it interferes with the immune response
|
|
|
Which 2 live vaccines must you remember this about?
|
-MMR
-Varicella |
|
|
What if the vaccines ARE given?
|
You'll have to reimmunize unless serologic testing indicates adequete titers
|
|
|
What vaccine SHOULD kawasaki disease patients on long term aspirin thx get and why?
|
Influenza - they're at risk for Reye syndrome if they're infected while on aspirin
|
|
|
What are 6 risk factors for coronary aneurysms?
|
-Male
-Early echo changes - mitral regurg or pericardial effusion -Age < 1yo -Thrombocytosis -Fever > 10d |
