Pediatrics

Last updated on: December 14th, 2021

Hi there!

You’re looking at an interactive scenario from Clinical Sense (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Inside II

1


“Hello, doctor! You asked me bring Bob back if anything happened. I think he has chickenpox.”


You smile at the mother-son duo in front of you. Three weeks ago, you diagnosed 4-year-old Bob with Kawasaki disease. You administered a single dose of intravenous immunoglobulin (IVIG) and started him on high-dose aspirin. After six days of treatment, Bob's symptoms resolved completely, but echocardiography showed a small coronary artery aneurysm. Because of this, you started him on low-dose aspirin, and then sent him home. You asked his mother, Mrs. Pearson, to bring him back in six weeks' time—or earlier, if anything untoward happened.


You remember that Bob's medical, surgical, and family histories are all unremarkable. He is not on any other medications. He has no known allergies. Growth and development are normal. All vaccines are up-to-date.