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It's Dr April and welcome back to all of you marvelous, magnificent mini medical students listening in.
Hey, if you need to refresh your memory about where we are, take a quick listen back to our earlier episodes.
Okay, let's get right to it.
You have something to say, hand-foot-mouth Hattie?
I hope it's a confession.
It's not.
Let me tell you why.
It can't be me.
So yeah, it totally can't be me.
Why?
I have a solid alibi, okay?
I was nowhere near the scene, the cafeteria.
I was at the daycare a block away and guess who was there?
OMG, pink eye.
She's just so adorable and always has the coolest sunglasses.
So yeah, we were catching up and hanging out with all the kiddos and it's great, because everyone there just loves us.
And wait, oh my gosh, do you know?
That pink guy told me that norvirus told her that he saw roseola slapped someone's cheeks and i was like no way.
He was trying to finish the story when croup walked in and just started barking all over the place so no one could hear anything and just Yeah.
So I was at the daycare, you guys.
It wasn't me.
Solid alibi.
Sorry.
And let me guess, you're going to do that cute little huddle thing.
Yep, you got it.
We'll be right back.
But first, a word from one of our sponsors.
Ooh, a sports one this time.
Welcome to Inflammation Nation, baby.
On the roster tonight, we've got Kalor, Rubor, Dolor, and Dumor.
Hey, Kalor, what's going on?
What's your strategy?
Nothing much, just bringing the heat.
Okay, Rubor, got your game face on tonight?
Oh, yeah, it's red as ever.
Let's go.
Dolor, the greatest offense of all time.
That's right.
That's me, bringing the pain, baby.
And finally, we've got two more rounding out the roster.
Yeah, you know me.
Always elevating my game.
You've heard it all here, folks.
Inflammation Nation.
Okay, everyone, Handfoot Mouth Hattie has a point.
She has an alibi, and she was nowhere near Kiara or at the school cafeteria that day.
Hmm well, just because Handfoot Mouth Hattie wasn't around Kiara that day, Kiara still could have been exposed to Handfoot Mouth Hattie sometime before the cafeteria events.
That's right.
That's probably the only time she could have been infected and then gotten the rash and the other stuff that day in the cafeteria.
Ooh, that's good.
Say more.
In other words, it takes days before a person's been exposed to a hand but mouth, Hattie or Mr Measles or fungi or anything like that, and when they actually get sick.
Hmm.
I usually need at least a few days to get my Inflammation Nation all-stars together to fight back and protect you.
Protect Chiara.
That's why it takes time between exposure and symptoms.
It's called the, uh, the, whatchamacallit, incubation period.
So that's what you medical professionals call that time between exposure and when a person feels sick.
The incubation period.
I just call it game time.
Brilliant.
Excelente.
And that's why we shouldn't rule out hand foot mouth Hattie just yet.
Kiara could have.
In fact, she would have had to have been exposed days before what happened in the cafeteria.
But we still don't know much at all about her typical behaviors.
To match them up against our factory.
Do your fingerprints match?
I can help you with that.
Her name is Hand-Foot-Mouth Hattie. so she causes problems with a person's hand, feet, and mouth.
She makes a flat, red rash on the palms of a person's hands and on the bottoms of their feet.
She also causes mouth sores and a sore throat, and fever.
Usually a fever.
I think my job is done here for now.
May I go back to the pizza party?
It looks like they're getting ready to do a Soul Train line.
That's definitely a big clue right there.
She makes rashes on a person's hands.
Kiara has a rash on her hands.
But are they itchy or lumpy rashes like Kiara's?
Good question.
Well, we've spoken to all of our suspects in the building.
Let's put everything on the table that we know at this point.
One thing about solving murky mysteries or confusing conundrums like this is thinking through what we do know and then naming what we don't know.
And what from what we don't know can we actually find out?
Wait, are you speaking in riddles again?
Maybe.
What I'm trying to say is I dream of a better world, one day when a chicken can cross the road and no one asks her why.
What?
Kidding.
Anytime we're facing a mystery, There are two things we must consider.
Two equally important things.
Number one, what do you already know about the case?
And then number two, what do you need to know?
And then look carefully at what you need to know and then think, where can we find those answers?
Knowing what we don't know is just as important as knowing what we do know.
Precisely.
High fives.
Yeah.
Dr. Cespedes, what do you think?
Okay, so here's what we do know.
Kiara was eating lunch in the cafeteria with her friend Julissa when she suddenly noticed an itchy rash on both her hands.
Kiki, oh my gosh, Kiki, what happened to the back of your hand?
Both of them!
She also coughed at least a few times.
You know it's kind of gross to lick your fingers.
Whatever, Kiki.
Are you okay?
Yeah, I guess.
But she was also eating lunch, so maybe some food got caught in the back of her throat.
But Kiara hadn't started to eat her lunch yet, remember?
She was trying to finish her art project instead.
Hey, do you still need to borrow my markers to finish your masterpiece art project?
Yeah, do you have them?
She also has a runny nose.
Or should I say rhinorrhea?
Yeah, rhinorrhea.
I love that word.
Okay, so itchy, lumpy rash on both her hands.
Oh, in arms, remember?
Cough.
Rhinorrhea.
It sounds like the cough and rhinorrhea were happening before the rash.
But we don't necessarily know that.
According to the story, Kiara noticed the rash at lunchtime.
But how do we know that it wasn't there earlier and you just didn't notice?
Notice until she was working on her art project.
Good point, okay.
So we're not exactly sure when the rash first appeared, but she definitely noticed it and started feeling itchy while she was working on her art project.
Good, good.
Mini doctors Okay.
Many med students listening in.
How does that sound to you?
Are we missing anything?
And finally, is there anything that we don't know about Kiara?
Think.
Cue the thinking music.
That's right.
Our team of many med students at home are on it.
We don't know what Kiara's focused physical exam is like.
But how does she, like, how does she look?
Does she appear sick?
Does she have a fever?
How does her rash look?
We need to know more.
How do her lungs sound?
How did her art project come out?
Okay, maybe not the art project.
Okay.
Let's get right on that focused physical exam.
ASAP.
And then hopefully we'll finally crack this case.
Y'all know what that means, don't you?
Get your stethoscopes.
Okay team, ready?
One, two, three, four.
Think, observe, and think some more.
One, two, three, four.
Think, observe, and think some more.
Okay, yes.
Now, how does Kiara appear to you all?
Kind of uncomfortable, and she's scratching her hands.
Mm-hmm.
I think so, too.
As for heart rate, it sounds fast.
110 beats per minute?
Is that normal?
Good question.
Only if she ran a lap around the entire school just now.
I'd be scared too if I were Kiar, and I didn't know what was going on.
Me too.
Me too.
What's that sound?
What do you hear when you've got students listening at home?
That's right.
It's her breathing.
But it sounds funny.
I feel it too.
It's a wheeze.
Excellent fears, mini-doctors.
Yes, it's a wheeze.
A kind of whistling sound that happens when the tiny breathing tubes in your lungs get small.
Okay, look at her hands.
What do you see?
On her palms, I see big red spots and then smaller red spots.
And lungs.
The lungs look pale compared to the red spots on the backs of her hands.
There's those same red splotches.
Those are the ones with spots on their arms.
Right, right.
They're on the palms and backs of both hands.
Ooh, that is rich for what I call a rather opulent observation.
Any doctors?
Okay, let's check them for other vital signs.
Do you remember what vital signs are?
Rather than our level, meaning that they're important for living.
That's right.
Until we're facing the very important things about a person's health.
Good.
What do we have?
We already have heart rate.
110 beats each minute.
Good.
What else?
The other vital signs are blood pressure, temperature, and how fast you can breathe.
So breath before you breathe.
Excellent.
Okay, so blood pressure might be a little high for her.
Her temperature shows that she does not have a fever, but she's definitely breathing faster than normal.
Many of my students listening in over there.
We're moving kind of quickly because this medical mystery might become.
We're staying calm but we're moving kind of fast.
So visit wwwinkmdcom to learn more about how vital signs are vital, so that you can be ready when we put the facts together next.
Okay, let's get back to headquarters now.
And now a word from one of our sponsors.
It's time for Name That Organ.
I come in twos like socks and shoes.
Pull me down and I expand.
Only to quickly recoil again.
I don't start working until after you're born.
Who am I?
I am your lungs.
That was amazing.
I'm so inspired right now.
Okay.
We have two lungs and they rest on the top of a big flat muscle that's just for breathing, called the diaphragm.
When the diaphragm contracts, the lungs gently fill with air like balloons when you breathe in.
Interestingly, before a baby is born, they don't need their lungs to work.
What?
Not until they come into the world and need to breathe air.
Oh, it looks like we're out of time, but make sure you tune in next week to find out if the crew made it back in time.
Bye.
