Pats myself on the shoulder. Haa. I spotted a Kawasaki today laaaa! Okays,
Kawasaki disease. Cute as the name may sound but its actually quite a serious autoimmune disease (i.e. the immune system fighting against your own body) that affects multiple organs, but most importantly the
heart la. Causes some dilation of the vessels and the child MAY get a heart attack. Yes, heart attack in children. Haa. So the most common sign you see is what we call 'strawberry tongue', where the tongue looks like a strawberry
la duh.. Others include eye redness, rashes, persistently high fever, peeling of skin on the palms and feet etc.
So this girl I saw today, 4 yrs old, mommy said had high fever for 3 days with eye redness, tearing++ and rashes over the body. Temp was 39.7 but it was time for her next dose of fever meds so thought maybe just give her a dose of paracet and do blood test la. But the more I see her the more uneasy I felt. Like you know your gut feeling's telling you something is not right. She looked really
RED la. Her lips were super red too. But she didn't have the 'strawberry tongue' thou. And I thought she didn't have the 'sandpaper rash' either(I got mixed up with scarlet fever laa). She was totally alert, like answered my questions appropriately and all. But I just thought something was not right. So I sent her in as a
9 case anyways.
Then when I was having my break, Dr Myla (who saw the case) told me it was an early Kawasaki and I did well for spotting it laaaa! Haha.
*Spins round the room. But then again, I didn't EXACTLY said it was Kawasaki, I just thought it could be so I was just playing it safe. :)
Oh well, at least better than our 蛇女 who insisted it was a KNEE FRACTURE when it was
OBVIOUSLY(+++++ to the core of my arse) a PATELLA DISLOCATION.
Rolls eyes.