SOLVED872

Past Medical History Vaccinations up-to-date Completed developmental milestones in a timely fashion Family History Mother and grandmother had been symptomatic for fever, gastroenteritis, and cough in the past few days Objective Data Vital signs: temperature: 39.4 °C; pulse: 112 bpm; respiratory rate: 28 breaths per minute; blood pressure: 91/52 mmHg Diffuse maculopapular rash involving the palms and soles Conjunctival injection Erythema of the lips, tongue, and pharynx Cervical nodes were not palpable. Hemoglobin: 14.6 g/dL White blood cell count: 13,720/mm3 Platelet count: 197,000/mm3 C-reactive protein concentration: 9.4 mg/dL Treatment and Management Sedated echocardiogram revealed dilation of the right coronary artery. AB was given IVIG 2g/kg × 1 and ASA 80 mg/kg/day divided four times daily. AB was discharged after symptoms resolved within 3 days of admission. Questions What is AB suffering from? What findings support the diagnosis? What tests are required to make a timely diagnosis? Why should an echocardiogram be done immediately after the diagnosis? What are the complications arising from it? What is the follow-up treatment?
SCIENCE
HEALTH SCIENCE
NURSING

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