Kawasaki disease physical examination: Difference between revisions
Jump to navigation
Jump to search
(→Skin) |
No edit summary |
||
| Line 16: | Line 16: | ||
* High-grade [[fever]] | * High-grade [[fever]] | ||
{| align="right" | {| align="right" | ||
|[[Image:Kawasaki symptoms F.jpg|thumb|center|500px|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]] | |[[Image:Kawasaki symptoms F.jpg|thumb|center|500px|Image showing desquamation of the fingers.<ref>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</ref>]] | ||
|} | |} | ||
===Skin=== | ===Skin=== | ||
Latest revision as of 15:55, 18 February 2020
|
Kawasaki disease Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
American Roentgen Ray Society Images of Kawasaki disease physical examination |
|
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
- High-grade fever
 |
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
- Strawberry tongue
- Fissuring of lips
- Erythematous oropharynx without tonsillar swelling
- Conjunctival injection
- High frequency sensorineural hearing loss may or may not be present
Neck
- Cervical lymphadenopathy
- Lymph nodes are greater than 15 mm in diameter
- Neck stiffness
- May indicate aseptic meningitis
Lung
- Pneumonitis may be present and is demonstrated by:
Heart
- Arrhythmia may or may not be present
- Tachycardia with regular or irregular pulse
Abdomen
Genitourinary
- Orchitis may be present
Neuromuscular
- Facial palsy may be present
References
- ↑ Saguil A, Fargo M, Grogan S (March 2015). "Diagnosis and management of kawasaki disease". Am Fam Physician. 91 (6): 365–71. PMID 25822554.
- ↑ 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