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Q1: Diagnosis (2 min)
"What are the diagnostic criteria for Kawasaki disease?"
- Fever over 5 days PLUS 4 of 5:
- Bilateral non-purulent conjunctivitis
- Oral changes (strawberry tongue, cracked lips)
- Polymorphous rash
- Extremity changes (erythema/desquamation)
- Cervical lymphadenopathy
Q2: Treatment (3 min)
"How do you treat Kawasaki disease?"
- IVIG 2g/kg single infusion (within 10 days)
- Aspirin: high-dose (anti-inflammatory) then low-dose (anti-platelet) for 6-8 weeks
- Echo: baseline, 2 weeks, 6-8 weeks
- IVIG-resistant (10-20%): repeat IVIG, infliximab, or steroids
- Incomplete Kawasaki (infants): lower threshold, treat early
Q3: Complications (2 min)
"What are the cardiac complications?"
- Coronary artery aneurysm (25% untreated, 3-5% with IVIG)
- Myocarditis
- Pericarditis
- Arrhythmias
- Leading cause of acquired heart disease in children
Q4: Follow-up (2 min)
"What follow-up is needed?"
- Echo at diagnosis, 2 weeks, 6-8 weeks
- Low-dose aspirin for 6-8 weeks (longer if aneurysm)
- Cardiology follow-up
- Giant aneurysm (over 8mm): lifelong anti-platelet + cardiology