Vascular

Question 1

Kawasaki Disease

Answer 1

Commonest cause of acquired heart disease in Western World

Predominantly 6 mo to 4yrs
- 75% cases < 5yrs old
Infants and adolsecents may present with incomplete -> higher risk of dvp’ing coronary artery aneurysms

Fever for 5 days +

Complete - 4/5 of the following

• Conjuntivitis
• Rash - Maculo-papular
• Extremity Changes - Hyperaemia, painful oedema progressing to desquamation (2nd week)
• Adenopathy - anterior cervical nodes and at least one >1.5cm
• Mucous membrane changes - Strawberry tongue, oropharyngeal oedema

Mangement
* Admit
* Echo - presentation, 2 and 6 weeks
* IVIG 2g/kg within first 10 days
* Aspirin - 3-5mg/kg until normal echo

Question 2

Kawsaki DIsease

Answer 2

• Conjunctivitis
• Rash
• Adenopthy
• Strawberry tongue
• Hands + feet
• + Burn - fever > 5d

Question 3

Kawasaki - Incomplete

Answer 3

1. Fever > 7d
2. Fever > 5d + >2 criteria
3. Cervical adenitis not respoding to ABx