CC: High fever for 6 days. PI: Six days prior to admission she developed high fever and rhinorrhea. Diagnosed with "URI". She was prescribed Tylenol, amoxicillin. Developed rash at trunk and extremities. V/S Temp 103.6F, HR 160 beats/min, RR 40 breaths/min, BP 98/50 mmHg HEENT: mild injected conjunctiva, no icteric sclera, red lips. Tachycardia. Erythematous rash at trunk and extremities. Swelling of dorsal part of hands and feet. Disease at top of differential
What is Kawasaki Disease
4 day old with cyanosis, cool extremities, lethargy. What's on your differential (any 3 for credit)
What is left heart obstructive lesions: aortic stenosis, coarcation of aorta, hypoplastic left heart syndrome
EKG finding for Kawasaki
ST elevations or old MI pattern