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1. Rheumatic Fever
2. Major Manifestations of Rheumatic Fever
3. Labs with Rheumatic Fever
4. Implementation DURING Rheumatic Fever
5. Kawasaki Disease
6. S/S of Kawasaki Disease
7. Implementation for Kawaski
8. Labs for Kawasaki and Presenting s/s, and prevalence. NOTE for Dx

Prolonged PR interval

Erythema- reddish skin rash

Focus on symptom management

Progressively weakens the walls of the blood vessels

Ensure adequate nutrition and hydration: often have poor appetites

Chorea- nervous disorder w/involuntary muscle motion

Providing family teaching: Many don't think they are very ill, and may delay treatment for weeks

Inflammation of the conjunctiva in both eyes

Carditis- inflammation of the heart

WBC and ESR are elevated

Unknown etiology, but thought to be infectious

Increased C-Reactive protein

Increased ESR (erythrocyte sedimentation rate)

Polyarthritis- multiple joint inflammation (Migrates from joint to joint)

Aneurism. Cracked peeling skin on hands and feet.

caused by untreated streptococcal infection, such as strep throat, tonsilitis, scarlet fever, or pharyngitis

Occurs in winter and early spring

Acute, febrile disease (caused by an infectious agent)

Cervical lymphadenopathy

Fever 102-104 and four of the other lists of symptoms to be diagnosed

Strawberry tongue. Dry, swollen, red cracked lips.

Irritability and Lethargy

High dose of IV immune globulin and High doses of ASA

Nodules- subcutaneous bumps under the skin

A chronic disease of childhood, affecting connective tissue of the heart, joints, lungs, and brain

Swollen joints. Rash that covers trunk and extremities.

Comfort measures and reducing pain: aspirin is given to relieve joint pain and reduce inflammation

Most often seen in boys less than 5

Will need chemoprophylaxis protocol of penicillin G injections for a minimum of five years or up to the age of 18 to prevent further bouts

Promoting energy conservation: often weak, tired, and pale

Note High fever that is unresponsive to antibiotics for five days