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Examination Findings of a child with Kawasaki disease - 🧠 ANSWER
✔✔Fever, Conjunctival Injection, Strawberry Tongue, and Edema of the
Hands and Feet.
Lymphadenopathy and Polymorphous Nonvesicular Rashes.
Peripheral Edema - 🧠 ANSWER ✔✔Grading:
,1+ Slight Pitting, no visible distortion, disappears rapidly.
2+ A Somewhat Deeper Pit than in 12+, but again no readily detectable
distortion, disappears in 10-15 seconds.
3+ Noticeably Deep Pit that may last more than a minute; dependent
extremity looks fuller and swollen.
4+ Very Deep Pit that lasts as long as 2-5 min; dependent extremity is
grossly distorted.
Ammonia in breath odor - 🧠 ANSWER ✔✔Uremia (ammonia)
Grading of Pulses - 🧠 ANSWER ✔✔4+ Bounding
3+ Full, Increased
2+ Expected
1+ Diminished, barely palpable
0 Absent, not palpable
Acute Limb Ischemia (ALI) - 🧠 ANSWER ✔✔Stage I - Viable - No sensory
impairment - No motor impairment - Audible Arterial Doppler Signal -
Audible Venous Dopler Signal
, Stage IIa - Marginally Threatened - Minimal Sensory Impairment - No Motor
Impairment - Often inaudible Arterial Doppler Signal - Audible Venous
Doppler Signal
Stage IIb - Immediately Threatened - Rest Pain Sensory Impairment - Mild
to moderate Motor Impairment - Inaudible Arterial Doppler Signal - Audible
Venous Doppler Signal
Stage III - Irreversible - Anesthetic Sensory Impairment - Paralytic/rigor
Motor Impairment - Inaudible Arterial Doppler Signal - Inaudible Venous
Doppler Signal
Assessment for Peripheral Arterial Disease - 🧠 ANSWER ✔✔Site of Pain is
Distal to the Narrowing.
Note:
Pulses (strong, weak or possibly absent)
Possible systolic bruits over the arteries that may extend through diastole.
Loss of expected body warmth.
Localized pallor and cyanosis.
Collapsed superficial veins, with delay in venous filling.
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