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CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
You are working a shift at EM Clerkshift General when the next chart is handed to you – a four year old male named Tommy with chief complaint of dehydration.
Initial Vitals
- Temp 100.4F
- HR 132
- RR 22
- BP 98/64
- O2 98%
Critical Actions
- Identify key historical findings (fever >= 5 days)
- Identify abnormal physical exam findings (Conjunctivitis, Rash, Adenopathy, Strawberry Tongue)
- Diagnose Kawasaki Disease Clinically
- Administer Aspirin
- Administer IVIG
Final Diagnosis
Kawasaki Disease
Tips and Tricks
- Remember the CRASH & BURN mnemonic
- Always have a high index of suspicion for this diagnosis
- Remember the diagnosis is CLINICAL!
Further Reading