Round 20 (Dehydration)

04.01.2021 - By EM Clerkship

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Case Introduction

You are working a shift at EM Clerkshift General when the next chart is handed to you – a four year old male named Tommy with chief complaint of dehydration.

Initial Vitals

* Temp 100.4F* HR 132* RR 22* BP 98/64* O2 98%

Critical Actions

* Identify key historical findings (fever >= 5 days)* Identify abnormal physical exam findings (Conjunctivitis, Rash, Adenopathy, Strawberry Tongue)* Diagnose Kawasaki Disease Clinically* Administer Aspirin* Administer IVIG

Final Diagnosis

Kawasaki Disease

Tips and Tricks

* Remember the CRASH & BURN mnemonic* Always have a high index of suspicion for this diagnosis* Remember the diagnosis is CLINICAL!

Further Reading

EMDocs – Kawasaki Disease

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