CLINICAL MEDICINE

MEDICINE

CARDIOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Irritable and febrile 3 yo M. Morbilliform rash. Bulbar conjunctival injection. Found to have a L coronary aneurysm. Which of the following is most likely to be identified during additional evaluation:
A
Multiple dilated loops of large bowel with bubbly linear gas collections in the bowel wall
B
Dilation of the aortic root
C
Renal artery thrombosis
D
Intramural duodenal hematoma
E
Acute distension of the gallbladder
Explanation: 

Detailed explanation-1: -Kawasaki disease (KD) is an acute febrile illness affecting children younger than 5 years old, without an identifiable cause, that can result in coronary artery aneurysms (CAAs) with potential lifelong complications.

Detailed explanation-2: -The course of Kawasaki disease can be divided into three clinical phases: acute, subacute and convalescent.

Detailed explanation-3: -Clinical signs include fever, rash, swelling of the hands and feet, irritation and redness of the whites of the eyes, swollen lymph glands in the neck, and irritation and inflammation of the mouth, lips, and throat. Kawasaki disease primarily affects children younger than 5 years of age.

Detailed explanation-4: -Without prompt treatment, Kawasaki disease can damage the coronary arteries and the heart muscle itself in as many as 1 in 4 children. Over the first few weeks, a weakening of a coronary artery can result in enlargement of the vessel wall (aneurysm).

There is 1 question to complete.