new_n_lost
Forum Hero
Topics: 663
Posts: 6,107
|
A febrile 5 yr old child ocmplains of chest pain. PE shows painful cervical adenopathy,dry cracked lips with erythema and swelling of hands and feet. A desquamating rash develops opn the fingers and toes.
Which of the following is a potential complication of the pt's disease
A. Acute MI
B. Aortic Arch Aneurysm
C. Aortic dissection
D. Infective Endocarditis
E. Mitral Stenosis
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| Addicudo
Forum Guru
Topics: 124
Posts: 615
|
E. Mitral Stenosis
___________________
... Idle hands are the DeVilS play ground ...
|
| po
Forum Elite
Topics: 39
Posts: 356
|
A
|
| new_n_lost
Forum Hero
Topics: 663
Posts: 6,107
|
I forgot to mention one thing
PLZ DONT FORGET TO EXPLAIN UR ANSWER PLZ
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| drduck
Forum Guru
Topics: 82
Posts: 523
|
nice Q,
i feel it might be infective endocarditis..........
by...........staph aureus.........desq rash cos of the same organism.....S/S of SABE.........must not be rash its sub cut heamoorage........very common in this disease.....
i dont know the reason why there is lymphadenopathy???
not sure........i go with option D
will have to search and find it out......
whats the answer???
|
| Luckyall
Forum Guru
Topics: 11
Posts: 593
|
im thinking thru, though too late in the night 
Kawasaki involving large/ medium/ small art----> complic thrombosis and Aneurysm formation or coronary art. ?
|
| Luckyall
Forum Guru
Topics: 11
Posts: 593
|
so... i forgot to post my favorite letter... A) , why ? read above 
|
| Feyza
Forum Guru
Topics: 49
Posts: 1,436
|
yup ! the Q smells kawasaki and MI when u start reading the PE ...
B may be the distractor bc Kawasaki results with CORONARY ARTERY aneurisms...
Prolonged fever, rash, mucocutaneous involvement, extremity changes, cervical adenopathy, conjunctivitis, and the development of coronary artery aneurysms characterize kawasaki
Edited by Feyza on 06/03/07 - 06:28 AM
___________________
O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
|
| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,819
|
yeah its coronary artery aneurysms.
answer is A and B is a very good distractor
___________________
life is guud
|
| epica
|
A Kawasaki
Typically, a child who is diagnosed with this illness will have a fever lasting 5 or more days and at least 4 of the following symptoms:
* redness in both eyes
* changes around the lips, tongue, or mouth
* changes in the fingers and toes, such as swelling, discoloration, or peeling
* a rash in the trunk or genital area
* a large swollen lymph node in the neck
* red, swollen palms of hands and soles of feet
|
| epica
|
What the ans?
|
| new_n_lost
Forum Hero
Topics: 663
Posts: 6,107
|
Yes the Correct Ans is A 
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
| new_n_lost
Forum Hero
Topics: 663
Posts: 6,107
|
the pt has Kawasaki Disease ( Mucocutaneous lymph node syndrome). Characteristic findings include painful Cervical lymph nodes, swelling of the hands n feet, a desquamating rash involving th efingers and vasculitis of the Coronary arteries.
B is incorrect as Kawasaki does not cause the Aortic Inflammation or of Arch of Aorta. Aneurysms r caused predominantly Atherosclerosis.
C,D and E are not associated with Kawasaki.
___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
|
|
| |
| | | | | | | | | | | | | |
