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Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also regarding your thought processes and the evidence behind your decisions. We can learn from each other!

You are seeing a 3yo child whose parents are essential workers and have recently tested positive for COVID-19. The child has had 3 days of fever, vomiting and diarrhea a few times per day with intermittent mild abdominal pain, and has a nonspecific blanching macular rash on the trunk and somewhat on the extremities. The child is well-appearing with good perfusion and hemodynamically stable, but is febrile in the ED. There are no respiratory symptoms, distress, nor hypoxia.

Would you work-up for MIS-C and if so, how?

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