robin082006
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Parents bring their 7-year-old girl to the hospital after having fever for the last 6 days. The mother is worried about her eyes which have become red, and thinks that something has spilled in them. On physical examination her vitals are, Temperature: 39.4C(103F); PR: 120/min, BP: 110/60; RR: 24/min. Significant examination findings include injected pharynx, erythematous palms and a left sided cervical lymph node enlargement (1.7 cm). The trunk showed erythematous, blanching rash with no rash over the face.
Labs revealed
ESR 38mm/h
Hct 46%
WBCs 12,000/mm3
Platelets 500,000/mm3
Urine analysis:
Protein Positive
WBCs 7/hpf
RBCs Negative
WBC & RBC Casts Negative
What is most appropriate next step in management?
A. Skin biopsy
B. Lymph node biopsy
C. Throat culture
D. Aspirin and IV immunoglobulin
E. Paracetamol and IV immunoglobulin
F. Benzathine penicillin
G. Oxacillin
H. Expectant management
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| sarika
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E. Paracetamol and IV immunoglobulin
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| me007
Forum Guru
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what do you think she has?
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| sarika
Forum Guru
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kawasaki
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| robin082006
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try again
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| X-Ray
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H
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| X-Ray
Forum Senior
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Posts: 139
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let read again
I think Glomerulonephritis small changes antibiotics
and culture the bug
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| X-Ray
Forum Senior
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Posts: 139
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You know I think it maybe a virus so no antibiotic
so yeah first answer H
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| prathapdoctor
Forum Elite
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i think its KAWASAKI DISEASE, the treatment is ASPIRIN AND IV IMMUNOGLOBULINS, ASPIRIN is indicated in children with rheumatoid arthritis,rheumatic fever and kawasaki disease.
what is the reason for protein in urine.
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| sarika
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Whats the answer?
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| robin082006
Forum Hero
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anser is D, this is Kawasaki's
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