CORRECT ANSWERS GRADED A+ FOR A
GUARANTEED PASS
rheumatic fever - ✅✅caused by group A strep untreated
SXS: fever, joint pain, brain damage
Dx: 2 major sxs/ 1 major and 1 minor sxs/ strep antibody
Tx: penicillin, tx every month from 5 years until 21, follow up for life,
pretreatment prior to surgery
**Attacks mitral valve**
Kawasaki disease - ✅✅idiopathic systemic vasculitis
**most common acquired**
SXS acute 1-2 weeks: fever >5 days, irritability, conjunctival erythema, rash,
strawberry tongue, cracked lips
SXS 2 weeks: desquamation (peeling), thrombocytosis, joint pain, aneurysm
leads to: myocarditis, ischemia of the heart
Tx: aspirin, labs, rest, I&O, high dose IVIG (immunoglobulin), WAIT ON
IMMUNIZATIONS
, Toddler VS - ✅✅pulse: 80-140
resp: 22-37
Preschooler VS - ✅✅pulse:75-120
resp: 20-28
School age VS - ✅✅pulse: 70-100
resp: 18-25
adolescent VS - ✅✅pulse:60-100
resp: 12-20
Tonsillitis (Acute infectious Pharyngitis) - ✅✅- strep
SXS: ST, fever, cough, loss appetite
Dx: throat swab
Tx: ABX, pain mgmt, comfort, hydration
resp distress - ✅✅chest retractions
cyanosis