101 Kawasaki Disease

EM Basic

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Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 8 March 2021

⏱️ 172 minutes

🔗️ Recording | iTunes | RSS

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Summary

Kawasaki:

Dr. Pushpa Shivaram, an assistant professor of pediatrics and pediatric cardiologist at the Medical College of Georgia, joins Dr. Zac Hodges and Sonal Dugar (M4) to discuss this very important topic in pediatric medicine.

What exactly is Kawasaki disease and why is this topic so important?

How do you make the diagnosis and what other diagnoses should you consider?

How can you diagnosis incomplete Kawasaki when the classic features are not all present?

What is the first-line treatment?

When should you get an echocardiogram?

When should you get your referral center involved?

All of this and more from the Department of Pediatrics and the Medical College of Georgia.

Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Special thanks to Dr. Reda Bassali, Dr. Leizl Domingo and Dr. Julisa Patel for providing peer review for this episode.

Questions, comments, or feedback? Please email us at [email protected]

Further Reading? Check out the clinical practice guideline from the American Heart Association with citation below.

McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association [published correction appears in Circulation. 2019 Jul 30;140(5):e181-e184]. Circulation. 2017;135(17):e927-e999. doi:10.1161/CIR.0000000000000484

Transcript

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0:00.0	Hi everyone and welcome back to EM Basic. My name is Zach Hodges. I'm a pediatric hospitalist at the
0:05.9	Medical College of Georgia, and I have the pleasure of bringing you another pediatric topic.
0:10.9	Today's episode is another crossover with the MCG pediatric podcast. I encourage you to check out
0:16.1	our podcast if you would like to hear more pediatric content. On this episode, I'm joined by pediatric cardiologist, Dr. Pushpa Shivaram, and fourth-year medical
0:24.8	student, Sonal Dugar.
0:26.7	We covered the basics of Kawasaki disease.
0:29.1	How do you make the diagnosis?
0:30.8	What are the common Kawasaki mimics?
0:33.1	What are the first-line treatments?
0:35.0	We also discuss the role of cardiac imaging and when to get your
0:37.9	specialist involved. With that, let's jump right into the conversation. The first voice that you
0:42.9	will hear will be Dr. Shivaram telling us what is Kawasaki disease and why this topic is so important.
0:52.1	Kawasaki disease is an acute self-limited febrile illness that mostly affects children's less than five years of age.
0:59.3	Though the etiology is unclear, we know that it is a multi-system medium-vessel vasculitis that may lead to coronary artery aneurysms in about 25% of the patients if it is left untreated.
1:11.3	Unfortunately, it is the leading cause of acquired heart disease and children in developed countries,
1:16.5	and this is largely preventable with appropriate treatment.
1:20.0	This is a very important topic for us to discuss today,
1:23.1	because general pediatricians and emergency physicians have the very important job to not miss the
1:29.0	diagnosis that can lead to lifelong effects.
1:32.5	Great.
1:33.1	So let's move forward with the case.
1:35.1	Our patient is a previously healthy three-year-old boy who presents to the emergency
	...

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