Changes

==Kawasaki Disease==

==Kawasaki Disease==

*H&P: Medium vessel vasculitis; ≥ 5 days fever with at least 4 of 5 other criteria in a child; often Asian

*H&P: Medium vessel vasculitis; ≥ 5 days fever with at least 4 of 5 other criteria in a child; often Asian

*Dx: CRASH and Burn; differential includes acute rheumatic fever from S. pyogenes (no uveitis); CRP is elevated but not required

*Dx: CRASH and Burn criteria for Kawasaki—'''Conjunctivitis, Rash, Adenopathy, Strawberry tongue, Hand/feet swelling, AND fever ≥ 5 days'''; differential includes acute rheumatic fever from S. pyogenes (no uveitis); CRP is elevated but not required

*Tx: IVIG; Hold off on live vaccines for 12 months after IVIG therapy; get a TTE to eval for coronary artery aneurysm

*Tx: IVIG; Hold off on live vaccines for 12 months after IVIG therapy; get a TTE to eval for coronary artery aneurysm