Kawasaki disease physical examination: Difference between revisions

Jump to navigation Jump to search
Line 27: Line 27:
** Limited to groin and lower limbs
** Limited to groin and lower limbs
** [[Pustules]], [[Macule|macules]], and [[Abscess|pustules]] may be rarely seen
** [[Pustules]], [[Macule|macules]], and [[Abscess|pustules]] may be rarely seen
* Beau lines are seen as transverse grooves along finger and toe nails
* Beau's lines are seen as transverse grooves along finger and toe nails
===HEENT===
===HEENT===
* [[Strawberry tongue]]
* [[Strawberry tongue]]
Line 36: Line 36:
===Neck===
===Neck===
*Cervical [[lymphadenopathy]]
*Cervical [[lymphadenopathy]]
**Lymph nodes are greater than 15mm in diameter
**Lymph nodes are greater than 15 mm in diameter
*Neck stiffness
*Neck stiffness
**May indicate [[Meningitis|aseptic meningitis]]
**May indicate [[Meningitis|aseptic meningitis]]

Revision as of 15:54, 18 February 2020

Kawasaki disease Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Kawasaki disease from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Guidelines for Management

Case Studies

Case #1

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Kawasaki disease physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Kawasaki disease physical examination

CDC on Kawasaki disease physical examination

Kawasaki disease physical examination in the news

Blogs on Kawasaki disease physical examination

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Kawasaki disease physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]

Overview

Physical examination of patients with Kawasaki disease is usually remarkable for erythematous rash, irritability, and desquamation of skin and mucous membranes.

Physical Examination

Physical examination of patients with Kawasaki disease is usually remarkable for erythematous rash, irritability, and desquamation of skin and mucous membranes.[1]

Appearance of the Patient

  • Patients with Kawasaki usually appear lethargic

Vital Signs

Source:commons.wikimedia. org, demonstrates digital desquamation by Kawasaki_symptoms.jpg: Dong Soo Kimderivative work: Natr (talk) - Kawasaki_symptoms.jpg, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=12776192

Skin

  • Erythema
  • Edema
  • Jaundice may or may not be present
  • Desquamation
    • May occur on the palms of the hand and soles of the feet, as well as perianally.
  • Rash
  • Beau's lines are seen as transverse grooves along finger and toe nails

HEENT

Neck

Lung

  • Pneumonitis may be present and is demonstrated by:
    • Fine crackles upon auscultation of the lung apices bilaterally
    • Rhonchi
    • Vesicular breath sounds
    • Expiratory/inspiratory wheezing

Heart

Abdomen

Genitourinary

Neuromuscular

References

  1. Saguil A, Fargo M, Grogan S (March 2015). "Diagnosis and management of kawasaki disease". Am Fam Physician. 91 (6): 365–71. PMID 25822554.

Template:WH Template:WS