By vgreene, 1 June, 2020 Follow inflammatory labs sequentially: CBC, ESR, CRP, PT/PTT, D-dimer, LFTs, cytokines
By vgreene, 1 June, 2020 Obtain cardiac eval early, incl troponin, BNP, EKG, echo; continue serial echo, per PIDS and ACR2,3
By vgreene, 1 June, 2020 Monitor cardiopulmonary VS for deterioration continuously; follow std APLS/PALS resuscitation & admit to PICU, if signs of shock1 (≥65% of cases2)
By vgreene, 1 June, 2020 Suspect Multisystem Inflammatory Syndrome in Children MIS C in any child who presents w persistent fever abdo pain vomiting diarrhea skin rash mucocutaneous lesions and in severe cases w hypotension and shock 1 Look for uarr laboratory confirmed signs of
By vgreene, 1 June, 2020 Based on multiple guidelines/recommendations from specialty societies/government agencies.