Kawasaki disease physical examination: Difference between revisions
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==Overview== | ==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== | ||
Physical examination of patients with Kawasaki disease is usually remarkable for erythematous [[rash]], irritability, and [[desquamation]] of skin and mucous membranes.<ref name="pmid25822554">{{cite journal |vauthors=Saguil A, Fargo M, Grogan S |title=Diagnosis and management of kawasaki disease |journal=Am Fam Physician |volume=91 |issue=6 |pages=365–71 |date=March 2015 |pmid=25822554 |doi= |url=}}</ref> | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
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===Vital Signs=== | ===Vital Signs=== | ||
*High-grade | *High-grade [[fever]] | ||
===Skin=== | ===Skin=== | ||
* Erythema | * [[Erythema]] | ||
* Edema | * [[Edema]] | ||
* Jaundice may or may not be present | * [[Jaundice]] may or may not be present | ||
* Desquamation | * [[Desquamation]] | ||
* Rash | * [[Rash]] | ||
** Limited to groin and lower limbs | ** Limited to groin and lower limbs | ||
** [[Pustules]], [[Macule|macules]], and [[Abscess|pustules]] may be rarely seen | |||
* Beau lines are seen as transverse grooves along finger and toe nails | * Beau lines are seen as transverse grooves along finger and toe nails | ||
===HEENT=== | ===HEENT=== | ||
* Strawberry tongue | * [[Strawberry tongue]] | ||
* Fissuring of lips | * Fissuring of lips | ||
* Erythematous oropharynx without tonsillar swelling | * Erythematous oropharynx without tonsillar swelling | ||
* Conjunctival | * [[Conjunctival injection]] | ||
* High frequency sensorineural hearing loss may or may not be present | * High frequency [[sensorineural hearing loss]] may or may not be present | ||
===Neck=== | ===Neck=== | ||
*Cervical lymphadenopathy | *Cervical [[lymphadenopathy]] | ||
**Lymph nodes are greater than 15mm in diameter | **Lymph nodes are greater than 15mm in diameter | ||
*Neck stiffness | *Neck stiffness | ||
**May indicate aseptic meningitis | **May indicate [[Meningitis|aseptic meningitis]] | ||
=== | ===Lung=== | ||
* | * [[Pneumonitis]] may be present and is demonstrated by: | ||
**Fine [[crackles]] upon auscultation of the lung apices bilaterally | |||
* | **[[Rhonchi]] | ||
**Vesicular breath sounds | |||
*Fine | **Expiratory/inspiratory [[wheezing]] | ||
*Rhonchi | |||
*Vesicular | |||
*Expiratory/inspiratory | |||
===Heart=== | ===Heart=== | ||
* [[Arrhythmias|Arrhythmia]] may or may not be present | |||
*[[ | |||
===Abdomen=== | ===Abdomen=== | ||
* Diarrhea | * [[Diarrhea]] | ||
* Vomiting | * [[Nausea and vomiting|Vomiting]] | ||
* Abdominal pain | * [[Abdominal pain]] | ||
*[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]] | *[[Hepatomegaly]] / [[splenomegaly]] / [[hepatosplenomegaly]] | ||
===Genitourinary=== | ===Genitourinary=== | ||
* | * [[Epididymoorchitis|Orchitis]] may be present | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
* Facial palsy may be present | * [[Facial palsy]] may be present | ||
==References== | ==References== | ||
Revision as of 15:32, 16 April 2018
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Kawasaki disease Microchapters |
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Case Studies |
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American Roentgen Ray Society Images of Kawasaki disease physical examination |
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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:
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
- Rash
- Beau 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 15mm 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
Abdomen
Genitourinary
- Orchitis may be present
Neuromuscular
- Facial palsy may be present