Round 20 (Dehydration)
Summary: <br> CAUTION: THESE NOTES CONTAIN SPOILERS!!!<br> <br> <br> <br> Case Introduction<br> <br> <br> <br> You are working a shift at EM Clerkshift General when the next chart is handed to you – a four year old male named Tommy with chief complaint of dehydration. <br> <br> <br> <br> Initial Vitals<br> <br> <br> <br> * Temp 100.4F* HR 132* RR 22* BP 98/64* O2 98%<br> <br> <br> <br> Critical Actions<br> <br> <br> <br> * Identify key historical findings (fever >= 5 days)* Identify abnormal physical exam findings (Conjunctivitis, Rash, Adenopathy, Strawberry Tongue)* Diagnose Kawasaki Disease Clinically* Administer Aspirin* Administer IVIG<br> <br> <br> <br> Final Diagnosis<br> <br> <br> <br> Kawasaki Disease<br> <br> <br> <br> Tips and Tricks<br> <br> <br> <br> * Remember the CRASH & BURN mnemonic* Always have a high index of suspicion for this diagnosis* Remember the diagnosis is CLINICAL!<br> <br> <br> <br> Further Reading<br> <br> <br> <br> <a href="http://www.emdocs.net/delayed-diagnosis-kawasaki-disease/">EMDocs – Kawasaki Disease</a><br>
