Kawasaki disease other diagnostic studies: Difference between revisions

	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 other diagnostic studies 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 other diagnostic studies
CDC on Kawasaki disease other diagnostic studies
Kawasaki disease other diagnostic studies in the news
Blogs on Kawasaki disease other diagnostic studies
Directions to Hospitals Treating Psoriasis
Risk calculators and risk factors for Kawasaki disease other diagnostic studies

VisualWikitext

Revision as of 21:19, 16 April 2018

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

Overview

Apart from the imaging studies already discussed previously, urinalysis, lumbar puncture, and angiography may be helpful in the diagnosis of Kawasaki disease. Findings suggestive of Kawasaki disease include leukocytosis and coronary artery aneurysms, respectively.

Other Diagnostic Studies

Other diagnostic tests include:

Urinalysis
- May demonstrate white blood cells and protein in the urine (sterile pyuria and proteinuria, respectively) without evidence of bacterial growth
Lumbar puncture
- May demonstrate evidence of aseptic meningitis
Angiography
- May be used to detect coronary artery aneurysms and remains the gold standard for their detection, but is rarely used today unless coronary artery aneurysms have already been detected by echocardiography.

Recommendation for Assessment of Patients With Inducible Myocardial Ischemia

Class I
"1. Patients with evidence of inducible myocardial ischemia on testing should undergo invasive coronary angiography.(Level of Evidence: B) "

References

Template:WH Template:WS

@@ Line 6: / Line 6: @@
 == Other Diagnostic Studies ==
-Other tests (may or may not be performed)
+Other diagnostic tests include:
-* [[Echocardiogram]] may show subtle coronary artery changes or, later, true aneurysms.
+* [[Urinalysis]]
-* [[Ultrasound]] or [[computerized tomography]] may show hydrops (enlargement) of the [[gallbladder]]
+** May demonstrate white blood cells and protein in the urine (sterile [[pyuria]] and [[proteinuria]], respectively) without evidence of bacterial growth
-* [[Urinalysis]] may show white blood cells and protein in the urine ([[pyuria]] and [[proteinuria]]) without evidence of bacterial growth
+* [[Lumbar puncture]]
-* [[Lumbar puncture]] may show evidence of [[aseptic meningitis]]
+** May demonstrate evidence of [[aseptic meningitis]]
-* [[Angiography]] was historically used to detect coronary artery aneurysms and remains the gold standard for their detection, but is rarely used today unless coronary artery aneurysms have already been detected by echocardiography.
+* [[Angiography]]
+** May be used to detect coronary artery aneurysms and remains the gold standard for their detection, but is rarely used today unless coronary artery aneurysms have already been detected by echocardiography.
 =====Recommendation for Assessment of Patients With Inducible Myocardial Ischemia=====
 {| class="wikitable" style="width:80%"
 |-
-| style="text-align:center; background:LightGreen" colspan="1" |[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
+| colspan="1" style="text-align:center; background:LightGreen" |[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]
 |-
 | bgcolor="lightgreen" |<nowiki>"</nowiki>'''1.''' Patients with evidence of inducible myocardial ischemia on testing should undergo invasive coronary angiography.''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])'' <nowiki>"</nowiki>