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WhichTphaseTofTKawasakiTdiseaseTisTassociatedTwithTcoronaryTaneurysms?
A. AcuteTfebrileTphase
B. SubacuteTphase
C. ConvalescentTphase
D. PhaseTofTcomplications
E. AllTofTtheTaboveT-TANSWERT-T1TB.
KawasakiTdiseaseTpresentsTwithTcharacteristicallyThigh,TunremittingTfeverTandT4ToutTofTtheT5Tpr
incipalTfeatures:
BilateralTnonexudativeTbulbarTconjunctivalTinjectionTwithTlimbalTsparing;
ErythemaTofTtheToralTandTpharyngealTmucosaTwithTstrawberryTtongueTandTdry,TcrackedTlips;
TEdemaTandTerythemaTofTtheThandsTandTfeet;
RashTofTvariousTformsT(scarlatiniform,Tmaculopapular,TerythemaTmultiforme);TNonsuppurat
iveTcervicalTlymphadenopathyT(usuallyTunilateral,TwithTnodeTsizeT>1.5cm).TAcuteTfebrileTpha
seT-TfeverTandTtheTacuteTsignsTofTillnessTandTusuallyTlastsT1-2wks
SubacuteTfebrileTphaseT-
Tdesquamation,Tthrombocytosis,TcoronaryTaneurysmsTandThighestTriskTofTsuddenTdeathTusu
allyTlastsT2Twks
ConvalescentTphaseT-TAllTclinicalTsignsThaveTdisappearedTuntilTESRTnormalizesTtypicallyT6-
T 8wksTafterTonsetTonTillness
Source:TNelson'sTTextbookTofTPediatricsT19thTeditionTp864
ATfourTyearToldTpresentsTwithTlow-
gradeTfever,TintermittentTcrampyTabdominalTpainTwithTemesisTandTswollenTkneesTofT3TdaysT
duration.TATpurpuricTrashTdistributedTbelowTtheTkneesTofTbothTlowerTextremitiesTisTnotedTo
nTphysicalTexamination.TThisTpatientTmostTlikelyThas:
A. Meningococcemia
B. IdiopathicTthrombocytopenicTpurpura
C. Henoch-ScholeinTpurpura
D. SLETE.TJuvenileTRheumatoidTarthritisT-TANSWERT-T2TC.
HSPTisTaTcommonTvasculitisTamongTchildrenTandTpresentsTwithTtheTclassicTfindingsTofTabdo
minalTpainTwithTorTwithoutTrectalTbleeding,TvasculitisTrash,TarthritisTandTnephritis.TTheTplat
eletTcountTisTnormal.TGastrointestinalTinvolvementTmayTprogressTtoTintussusception.
Source:TNelson'sTTextbookTofTPediatricsT19thTeditionTp868
AT3TyearToldTfemaleTpresentsTwithT1TweekThistoryTofTdailyT(quotidian)TfeverTassociatedTwith
TarthritisTofTbothTanklesTandTherTrightTknee.THerTmotherTnotesTthatTsheThasTdecreasedTactivit
y
,Test Bank For Pediatrics 19th Edition By Nelson 2024.
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, Test Bank For Pediatrics 19th Edition By Nelson 2024.
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andTalsoTnotesTrashesTthatTcomeTandTgoTinTdifferentTpartsTofTherTbodyTbutTnotTonTtheTface.TO
nTphysicalTexamination,TsalmonTcoloredTpatchesTwereTnotedTonTtheTtrunkTandTextremities.T
PalpationTrevealedTsplenomegaly.TWhatTisTtheTdiagnosis?
A. HenochTSchoenleinTPurpura
B. SystemicTLupusTErythematosus
C. JuvenileTRheumatoidTarthritis
D. JuvenileTDermatomyositis
E. DengueTfeverT-TANSWERT-T3TC.
Don'tTforgetTtoTstudyTrheumaticTdiseasesTofTchildhoodTevenTifTit'sTnotTyourTfavoriteTtopic.TFa
miliarizeTyourselfTwithTtheTrelativelyTcommonTonesTlikeTJRA,TSLET andTdermatomyositis,T HS
PT andT scleroderma.T PayT attentionT toT theTcharacteristicsT ofT theT rashT andT otherT features.T(D
on'tTfallTforTtheTtrapTofTrashT+TarthritisT=TSLE..TIt'sTnotTalwaysTSLE!)
JRAT-
TSalmonTcoloredTpatch,Tevanescent,TsparesTtheTfaceTSLET-
TMalarTrash,Tphotosensitive
DermatomyositisT-
TheliotropeT(periorbital)Trash,TgottronTpapulesT(rashTonTtheTknuckles)THSPT-
TpurpuraTinTdependentTportions
ForTJRA,TknowTtheTdifferencesTbetweenTsubtypesT(oligoarticularTvsTpolyarticularTvsTsystemicTon
set)
ThisTcaseTinTparticularTisTaTcaseTofTsystemicTonsetTJuvenileTRheumatoidTarthritisT(alsoTcalledTSti
ll'sTDisease)
Source:TNelson'sTTextbookTofTPediatricsT19thTeditionTp830
AT4TyrToldTboyTpresentsTwithThisTthirdTepisodeTofTpainfulTcervicalTlymphadenitis.TEachTwasTt
reatedTwithTincisionTandTdrainageTandTgrewTS.Taureus.THeTalsoTexperiencesTrecurrentTskinTi
nfections.TATyearTago,TheTwasThospitalizedTforTosteomyelitis.TTheTmostTimportantTlaboratory
TtestTis:
A. PCRTforTADATdeficiency
B. NitroblueTtetrazoliumTtest
C. MAC-ITassay
D. NeutrophilTcount
E. GeneticTchromosomalTanalysisT-TANSWERT-
T4TB.TThisTisTaTcaseTofTchronicTgranulomatousTdiseaseT(CGD)TwhereinTpatientsTareTsusceptibl
eTtoTcatalaseTpositiveTorganismsTlikeTS.Taureus.TTheTnitroblueTtetrazoliumTtestsTtheTneutrophi
lsTabilityTtoTgenerateTsuperoxideTanionTandTthusTkillTingestedTbacteria.
Source:TNelson'sTTextbookTofTPediatricsT19thTeditionTp746
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