Facts and Features
The classic description of a KD patient's tongue
KD is more common in females than males
What is False
Male:Female is 1.5:1
The most common organ system for complications of KD
What is the cardiovascular system
Animal that gnaws down trees and the finding a pt must have ≥5 days for KD
What is beaver fever
A throat swab may help differentiate between KD and this ddx.
What is Streptococcal Scarlet Fever
The incidence of KD is greatest in children living in East Asia.
What is True
This is obtained at 1-2 weeks and 4-6 weeks after discharge
ECHO
The most important imaging to get with suspected KD and a lizard with sticky feet
What is ECHO gecko
KD is a systemic illness of this type within the body
What is systemic vasculitis
The definition of incomplete Kawasaki Disease is a child of any age with at least 5 days of fever and 2-3 of the physical findings.
What is True
This complication is the principal cause of KD mortality, with the highest risk in the first 6-12 months
What is MI
Treatment for KD and a shopping frenzy
What is IVIG spree
>90% of patients with KD have this ocular finding
What is bilateral conjunctivitis
Cervical lymphadenopathy is present in >90% of cases of KD
What is False
Cervical lymphadenopathy is present in 25-70% of patients with KD, making it the least reliable finding associated with this disease
Name 2 risk factors associated with coronary artery abnormalities as a KD complication
Late dx or delayed IVIG administration
Age <1 year or >9 years
Male
Fever ≥ 14 days
Labs: low Hct, low albumin, low sodium elevated liver enzymes, elevated ESR/CRP, elevated WBC
A lively style of dance popular especially in the 1940s and 1950s and 80-90% of KD cases occur in children younger than this age
What is Jive Five
Name the 5 physical findings needed in addition to at least 5 days of fever to diagnose KD
- Bilateral bulbar conjunctival injection
- Oral mucous membrane changes, including injected or fissured lips, injected pharynx, or strawberry tongue
- Peripheral extremity changes, including erythema of palms or soles, edema of hands or feet (acute phase), or periungual desquamation (convalescent phase)
- Polymorphous rash
- Cervical lymphadenopathy (at least one lymph node >1.5 cm in diameter)
High dose aspirin reduces the development of coronary aneurysms
What is false
ASA is believed to modify the inflammatory state and prevent thrombosis, but does not appear to impact the development of coronary aneurysms
This acute complication is a rare presentation of KD, with characteristic lab findings including elevated troponins, hyponatremia, elevated CRP, elevated LA, and coagulopathy.
What is Kawasaki Disease Shock Syndrome
Typical lab findings of KDSS include: thrombocytosis (or thrombocytopenia), elevated D-dimer, elevated ESR/CRP, elevated hepatic enzymes, elevated troponin, elevated LA, hyponatremia, and coagulopathy
Recovery (convalescent) phase KD finding of the hands and feet and a very important, public announcement
What is desquamation proclamation