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I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

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Sunday, 14 July 2019

Kawasaki Disease

Medium sized artery vasculitis in children under five years old.
Unknown aetiology but possibly infection.
Higher risk in Asians, especially Japenese and Koreans.

Signs
or
In the absense of inflammation (high WCC or CRP) Kawasaki is unlikely.
Don't wait for fever >5 days to diagnose it though - it might be incomplete.

https://www.rcemlearning.co.uk/foamed/a-child-with-a-fever/
https://adc.bmj.com/content/99/1/74
https://www.paediatricfoam.com/2017/06/kawasaki-disease-pearls-and-pitfalls/?subscribe=success#blog_subscription-4
http://dontforgetthebubbles.com/kawasaki-disease-beware-the-incomplete/
http://rolobotrambles.com/notjustafever/
https://calgaryguide.ucalgary.ca/wp-content/uploads/image.php?img=2017/05/Kawasaki-Disease.jpg

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