Kawasaki Disease

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• 1) Perform research on the following:

Assessment, diagnostic testing, and management of infectious conditions in a pediatric patient

• Differential diagnoses for presentation of symptoms involving infectious diseases in pediatric patients
• After completing your research, consider this scenario:
• What will be your differential diagnoses for this patient?( I provided you with these 4 differential diagnosis, define and discuss each of them and say why they have been choosen Kawasaki Disease, Rocky mountain fever, Scarlet fever and Juvenile Rheumatoid Arthritis.)
• What specific physical exam findings support these differential diagnoses?
• Of the differential diagnoses you listed, which would be the most concerning? (Kawasaki Disease is the most concerning for me) Discuss and define
• What additional diagnostic tests will you recommend for Kawasaki Disease? Why?
• What would be your focus for caregiver education about Kawasaki Disease?

An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:

A blood and urine culture

A complete blood count

A comprehensive metabolic panel

The culture reports were found to be negative.

Today, the vitals of the child are the following:

Temperature: 101.5 degrees Fahrenheit

Heart rate: 120 beats/minute

Respiratory rate: 20 breaths/ minute

Blood pressure: 90/40

Physical examination of the child indicates the following positive findings:

Injected conjunctiva

Palmar redness

Magenta-colored lips

Red macula

Excoriating rashes in the diaper area

C. On the basis of the above information, respond to the following: