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  #1  
Old 03-05-2013
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Default Best for Coronary artery aneurysm/thrombosis in kawasaki

A 3 year old male child is brought to emergency room by his concerned mother because of history of fever for the past 5 days. The patient also has developed a red rash on his extremities. On physical examination, temperature is 102F. The tongue is very inflamed and has red, enlarged papillae. Posterior pharynx is erythematous without any exudate. There is a palpable cervical lymph node of 1.8cm on the right side of the neck. There is conjunctival erythema bilaterally. Erythema is noted on palms and soles. and skin appears to be peeling off around the nails. Laboratory investigations reveal a WBC count of 15,000/µl, platelet count of 550000 per μl and an ESR of 50mm/hr. Which of the following therapeutic interventions are most helpful in preventing the complications associated with this condition?

a) Penicillin

b) Corticosteroids

c) Aspirin

d) Intravenous Immunoglobulin

e) Clindamycin
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  #2  
Old 03-06-2013
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Default c) Aspirin

c) Aspirin
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Old 03-06-2013
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Default D...ivig

Quote:
Originally Posted by fadi551 View Post
c) Aspirin
Only IVIG has been proven to reduce mortality of cardiovascular disease in kawasaki....MTB 3
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Old 03-06-2013
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Default

d) Intravenous Immunoglobulin
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  #5  
Old 03-08-2013
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Default Nemonic for Kawasaki

Quote:
Originally Posted by stfidel View Post
A 3 year old male child is brought to emergency room by his concerned mother because of history of fever for the past 5 days. The patient also has developed a red rash on his extremities. On physical examination, temperature is 102F. The tongue is very inflamed and has red, enlarged papillae. Posterior pharynx is erythematous without any exudate. There is a palpable cervical lymph node of 1.8cm on the right side of the neck. There is conjunctival erythema bilaterally. Erythema is noted on palms and soles. and skin appears to be peeling off around the nails. Laboratory investigations reveal a WBC count of 15,000/µl, platelet count of 550000 per μl and an ESR of 50mm/hr. Which of the following therapeutic interventions are most helpful in preventing the complications associated with this condition?

a) Penicillin

b) Corticosteroids

c) Aspirin

d) Intravenous Immunoglobulin

e) Clindamycin
Nemonic for Kawasaki is FEEL My Conjuctiva
Fever (usually high and unresponsive to acetaminophen)
Erythema
Edema
Lymphadenopathy
Myocarditis
Conjunctivitis

Hope this helps someone
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