Kawasaki disease is an acute febrile, systemic vasculitic syndrome of an unknown etiology that primarily occurs in children younger than five years of age.
The principal presentations of Kawasaki disease include fever, bilateral nonexudative conjunctivitis, erythema of the lips and oral mucosa, changes in the extremities, rash, and cervical lymphadenopathy. Coronary artery aneurysms or ectasia develops in 15% to 25% of untreated children with the disease, which may later lead to myocardial infarction, sudden death, or ischemic heart disease. Treatment with intravenous gamma globulin (IVIG) is effective, but the mode of action is still unclear.
(A) Bilateral, non-exudative conjunctival injection with perilimbal sparing.
(B) Strawberry tongue and bright red, swollen lips with vertical cracking and bleeding.
(C) Erythematous rash involving perineum.
(D) Erythema of the palms, which is often accompanied by painful, brawny edema of the dorsa of the hands.
(E) Erythema of the soles, and swelling dorsa of the feet.
(F) Desquamation of the fingers.
(G) Erythema and induration at the site of a previous vaccination with Bacille Calmette-Gurin (BCG).
(H) Perianal erythematous desquamation.
A Malaysia Airlines flight carrying 239 people — including four Americans — lost contact with air traffic control and was missing hours after it was supposed to have landed in Beijing, the airline said Saturday.
The airline told NBC News that a search-and-rescue mission was under way for Flight MH370, a Boeing 777-200, and that relatives of those on board were being notified.
The flight from Kuala Lumpur, carrying 227 passengers from 14 countries — including two infants — and 12 crew members, had been scheduled to land at 6:30 a.m. in Beijing (5:30 p.m. ET Friday). But Subang Air Traffic Control in Malaysia reported that it lost contact at 2:40 a.m. (1:40 p.m. ET Friday).
Most of the passengers — 153, including one of the infants — were Chinese, the airline said Saturday. The other infant was an American, one of four on the plane, it said. Thirty-eight people were from Malaysia, and 12 were from Indonesia.
I would say so, yes
For at least six years, a woman’s body sat undisturbed in the backseat of a Jeep, parked in the garage of her suburban Detroit home.
No one reported her missing. The grass was cut and the mail was collected. Bills were paid automatically from her bank account.
Her macabre — and unknown — demise was discovered Wednesday after the home in Pontiac, Mich., had fallen into foreclosure and the bank hired a worker to patch a hole in the roof, the Detroit Free Press reported.
Angle between nail plate and proximal nail fold greater than 180 degrees.
Important causes of clubbing in the adult:
- Lung Cancer
- Pulmonary Fibrosis
- COPD IS NOT A CAUSE OF CLUBBING (if you seen clubbing in a COPD patient, think lung cancer)
- R to L shunts
Brain sectioned in the median sagittal plane.