A child presents with a fever that has lasted for 4 days. Upon assessment, the nurse notes a strawberry tongue, reddened, painful skin on the palms of the hands and soles of the feet, and a diffuse, maculopapular rash. The rash do not blanch when pressure is applied. The nurse suspects which condition?

Kawasaki disease. Prolonged fever, strawberry tongue, diffuse rash, and reddened, painful palms of the hands and soles of the feet are indicative of Kawasaki disease. Scarlet fever can have a similar presentation to Kawasaki disease (namely, strawberry tongue); however, one of the distinguishing characteristics of the rash in Scarlet fever is that it blanches white when pressure is applied. The patient’s symptoms do not point to juvenile RA or HFMD.

A child presents with a fever that has lasted for 4 days. Upon as...

Category: Physiological Adaptation
Difficulty: 9

Topics: Cardiovascular

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