14576345
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
over 6 years ago
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| Question | Answer |
| 1. TRUE/FALSE? a) Kawasaki disease is the commonest cause of acquired heart disease in childhood. | True. Kawasaki disease is the commonest cause of acquired heart disease in children in developed countries (rheumatic fever is still the most common cause in the developing nations). It is the second most common childhood vasculitis. Early diagnosis and prompt treatment can help reduce the risk of coronary aneurysms and heart disease. |
| 1. TRUE/FALSE? b) Kawasaki disease does not affect infants. | False. Although the common age of presentation is one to five years, Kawasaki disease can occur in infants who are more likely to present with atypical features and are at a higher risk of cardiac complications. The disease may also occur in children older than five years of age. |
| 1. TRUE/FALSE? c) The rash of Kawasakis disease is vesicular in nature. | False. The rash of Kawasaki disease is polymorphous (usually maculopapular). It is rare for it to be vesicular in nature. |
| 1. TRUE/FALSE? d) Oral ulceration is a feature of Kawasakis disease. | False. Oral ulceration is not a typical a feature of Kawasaki disease. Oromucosal changes are typical such as 'strawberry tongue'. |
| 1. TRUE/FALSE? e) Diagnosis of Kawasakis disease is largely clinical. | True. Young children and infants in particular may not have the required four features at one time (incomplete) Kawasaki disease and the diagnosis may therefore be missed. Children with incomplete Kawasaki disease are at equal if not greater risk of cardiovascular complications. Consider the possibility of Kawasaki disease in any child with fever of greater than five days duration and/or incomplete features of Kawasaki disease (even if the fever is less than five days in duration) and seek specialist advice if unsure of your diagnosis. |
| 1. TRUE/FALSE? f) Children with Kawasaki disease should have an echo at diagnosis to look for cardiac aneurysms. | True. Children with Kawasaki disease should have an echo at diagnosis to look for cardiac aneurysms. These children also need long term cardiac follow up. |
| 1. TRUE/FALSE? g) Treatment of children with Kawasaki disease within 10 days of disease onset reduces the risk of coronary aneurysms. | True. Treatment of children with Kawasaki disease within 10 days of disease onset reduces the risk of coronary aneurysms from 25% to 5%. |
| 2. TRUE/FALSE? a) Acute morbidity in Henoch Schonlein Purpura (HSP) is related to gastrointestinal complications. | True. Acute morbidity in Henoch Schonleins Purpura is related to gastrointestinal complications (bleeding/intussusception). Chronic morbidity is related to renal complications. |
| 2. TRUE/FALSE? b) All cases of HSP require treatment with steroids. | False. Most cases need only symptomatic treatment. Cases with severe abdominal pain may require steroids. |
| 2. TRUE/FALSE? c) Children with HSP need regular urine analysis and blood pressure checks. | True. Children with HSP need regular urine analysis (look for proteinuria and haematuria) and blood pressure checks. |
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