Table 2

 Differential diagnoses considered and the investigations requested

DiagnosisRelevant investigation
• Incomplete Kawasaki diseaseEchocardiogram
Electrocardiogram
Abdominal ultrasound
• Systemic onset juvenile idiopathic arthritisSerum ferritin concentration
• Systemic lupus erythematosusAutoantibody screen
• LeukaemiaBlood film
• Inflammatory bowel diseaseWhite cell scan
• NeuroblastomaAbdominal ultrasound
Urine catecholamines
• Abscess, localised infectionWhite cell scan
Abdominal ultrasound