PATH Question! - jdmed84

[ArchivalUser]

A 4-year-old boy presents to the emergency department with a 5-day history of fever to 38.6°C (101.5°F). Physical examination reveals cervical lymphadenopathy and edema of the dorsal aspect of his hands. He is admitted to the hospital and a diagnosis is made.

Which of the following physical examination findings would be most consistent with this patient’s diagnosis?

A. Oral ulcers
B. Conjunctivae
C. Petechaie
D. REtinal hemorrhages with pale centers
E. Splenomegaly

-usmleRX

[ArchivalUser]

bbb. kawasaki

[ArchivalUser]

Good stuff!

OK make sure u note the new features like dorsal hands and handfoot
erythema. The hand foot erthema is not in the old first aid, its in the new one.

I got thrown off with the edema of the hands so i got this wrong.

[ArchivalUser]

i know. at first i was thrown off, but only kawasaki fit the other options. thanks

[ArchivalUser]

why not oral ulcers?

[ArchivalUser]

Ulcers are not seen in kawasaki according to the explanation.
Mucositis and oral changes such as strawberry tongue..

[ArchivalUser]

What's the treatment...question for all except for Jdmed

[ArchivalUser]

Great Question!

Rx: Asprin

[ArchivalUser]

to prevent coronary thrombosis

[ArchivalUser]