Kawasaki disease physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]

Overview

Physical examination of patients with Kawasaki disease is usually remarkable for erythematous rash, irritability, and desquamation of skin and mucous membranes.

Physical Examination

Physical examination of patients with Kawasaki disease is usually remarkable for erythematous rash, irritability, and desquamation of skin and mucous membranes.[1]

Appearance of the Patient

  • Patients with Kawasaki usually appear lethargic

Vital Signs

Image showing desquamation of the fingers.[2]

Skin

  • Erythema
  • Edema
  • Jaundice may or may not be present
  • Desquamation
    • May occur on the palms of the hand and soles of the feet, as well as perianally.
  • Rash
  • Beau's lines are seen as transverse grooves along finger and toe nails

HEENT

Neck

Lung

  • Pneumonitis may be present and is demonstrated by:
    • Fine crackles upon auscultation of the lung apices bilaterally
    • Rhonchi
    • Vesicular breath sounds
    • Expiratory/inspiratory wheezing

Heart

Abdomen

Genitourinary

Neuromuscular

References

  1. Saguil A, Fargo M, Grogan S (March 2015). "Diagnosis and management of kawasaki disease". Am Fam Physician. 91 (6): 365–71. PMID 25822554.
  2. Source:commons.wikimedia. org, demonstrates digital desquamation by Kawasaki_symptoms.jpg: Dong Soo Kimderivative work: Natr (talk) - Kawasaki_symptoms.jpg, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=12776192

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