Browse categories and answer follow-up questions to refine your symptom profile.
Time critical priorities
Stabilization priorities
Airway compromise from severe cervical lymphadenopathy
Shock physiology from myocarditis or KD shock syndrome
Respiratory failure from pulmonary edema
Early senior pediatrics involvement for ill appearance
Early pediatric cardiology involvement for suspected KD
If hypotension or poor perfusion, resuscitation bay escalation
IV access x2 or IO
Isotonic crystalloid 10-20 mL/kg bolus with reassessment
If persistent shock, vasoactive support and ICU
Point of care ultrasound for ventricular function and effusion
High risk features
High risk clinical states
Age under 6 months
Prolonged fever 7 days or more
Incomplete KD features
Toxic appearance
Refractory fever after IVIG
Suspected macrophage activation syndrome
Significant myocarditis
Tachycardia out of proportion to fever
Gallop rhythm
Elevated troponin
Depressed ventricular function on echocardiography
Hemodynamic and monitoring targets
Monitoring and targets
Continuous cardiac monitoring
Frequent blood pressure measurement
Strict intake and output
If shock or myocarditis, ICU level monitoring
If vasoactive infusions, arterial line consideration
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.