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학습 자료 둘러보기 →The cluster of persistent vomiting, abdominal pain, conjunctival injection, and strawberry tongue in a child with recent COVID-19 is a classic presentation of Multisystem Inflammatory Syndrome in Children (MIS-C). This is a severe postinfectious hyperinflammatory condition, not just a gastrointestinal illness.
Cardiac involvement occurs in 67%-80% of MIS-C cases, leading to myocarditis and rapid progression to cardiogenic shock. The immediate nursing priority is continuous cardiorespiratory monitoring, obtaining a full set of vital signs including blood pressure, and notifying the provider to prepare for potential vasopressor support and transfer to a higher level of care.
Do not dismiss these symptoms as a routine viral gastroenteritis. Delayed recognition of MIS-C can lead to irreversible myocardial dysfunction and coronary artery dilation. Early echocardiography and inflammatory marker labs (CRP, ferritin) are critical.
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