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Old 08-31-2012
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Arrow Belindalimm Daily Questions: Pathology #2

A 3-year-old boy is brought to the emergency department because of an 11-day history of fever and irritability. His mother says that he is normally very healthy and she has never seen him so sick. He has not received any of his vaccinations. His temperature is 38C(101F). Physical examination shows palpable cervical lymph nodes and a desquamating skin rash on the palms, soles, and mouth. For which of the following complications should this patient most likely be monitored?

A. Abdominal aortic aneurysm
B. Aneurysm of the aortic root
C. Berry aneurysm
D. Coronary artery aneurysm
E. Orchitis
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Old 08-31-2012
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i think it's D) coronary artery aneurysm

kawasaki disease
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Old 08-31-2012
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Default my answer :)

D. Coronary artery aneurysm - Kawasaki disease
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Old 08-31-2012
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i think its orchitis.. b/c in any of above there is no relation of fever & palms & soles desquamation
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Old 08-31-2012
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orchitis


........
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Old 08-31-2012
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Quote:
Originally Posted by belindalimm View Post
A 3-year-old boy is brought to the emergency department because of an 11-day history of fever and irritability. His mother says that he is normally very healthy and she has never seen him so sick. He has not received any of his vaccinations. His temperature is 38C(101F). Physical examination shows palpable cervical lymph nodes and a desquamating skin rash on the palms, soles, and mouth. For which of the following complications should this patient most likely be monitored?

A. Abdominal aortic aneurysm
B. Aneurysm of the aortic root
C. Berry aneurysm
D. Coronary artery aneurysm
E. Orchitis
Would go with D, this is a kawasaki disease.
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Old 08-31-2012
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Default D for sure!

its D) kawasaki affects coronary arteries of a child less than 5 years of age and its symptoms mimic that of a viral infection.
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Old 09-01-2012
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D.......D.......
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Old 09-01-2012
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Kawasaki ninja
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  #10  
Old 09-02-2012
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Default Answer is coronary artery

Since the kid has fever for several days(a long time), lymphadenopathy and pathological changes of skin and mucus membrane, it indicates the possibility of kawasaki disease, which involves small, medium and large-sized arteries and coronary artery is mostly affected. Kawasaki disease is a necrosis vasculitis and usually is a self-limited disease. But there do exist severe cases, in which patients die from coronary aneurysm rupture.

Common symptoms: fever, conjunctivitis, lymphadenopathy, oral mucosa erosions, skin rash, skin desquamatation on palms and soles.
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