Round 20 (Dehydration)

CAUTION: THESE NOTES CONTAIN SPOILERS!!!



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