Round 20 (Dehydration)
04.01.2021 - By EM Clerkship
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
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.
* Temp 100.4F* HR 132* RR 22* BP 98/64* O2 98%
* 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
Tips and Tricks
* Remember the CRASH & BURN mnemonic* Always have a high index of suspicion for this diagnosis* Remember the diagnosis is CLINICAL!
EMDocs – Kawasaki Disease