23. Pediatric Neck masses

Question 1

transilluminating neck mass? location? cause? diagnosis?

Answer 1

cystic hygroma
left posterior triangle
lymphatic malformation

MRI

Question 2

child presents with lymphadenopthy and purple skin lesions, diagnosis?
tx?

Answer 2

Mycobacterium

Azithromycin

Question 3

midline cyst that moves with swallowing, diagnosis?

cause?

Answer 3

failure of thyrogloassal duct deteriote

Question 4

doughy mass on head that moves independently?
cause?
components?

Answer 4

dermoid

outer layers of skin dont grow properly

hair follicles, glands

Question 5

where is type 1 first branchial cleft cyst?

cause?

Answer 5

below ear

duplication of external auditory canal

Question 6

where is type 2 first branchial cleft cyst?

Answer 6

below angle of mandible

Question 7

location of second branchial cleft cyst?

Answer 7

inferior to mandible

anterior to SCM

Question 8

bright red macule or papule rash w clear boundaries, diagnosis?
wt if there are 5?

Answer 8

hemangioma

abdominal MRI of liver

Question 9

2 phases of hemangiomas?

Answer 9

proliferative - begins after birth

involutional - change from red to grey, softens, flattens

Question 10

wt indicates high risk cubglottic hemangioma?
symptom?

diagnosis?

Answer 10

beard hemangioma

biphasic stridor

MRI w gadolinium

Question 11

wt to do if beard hemangioma and stridor?

Answer 11

hospitalization

Question 12

tx for hemangioma?

Answer 12

propranolol

Question 13

tx for torticollis?

Answer 13

stretching

Question 14

6 worisome findings in pediatric lymphadenopathy?

Answer 14

generalized adenopathy
firm
matted
nontender
>2cm
systemic symptoms

Question 15

define acute lymphadenopathy? tx?

chronic? tx?

Answer 15

<2 wks - Abs

> 6 wks - biopsy

Question 16

most common cause of pediatric lymphadenopathy

Answer 16

viral

Question 17

appearance of mycobacterium lymphadenopathy?

tx?

Answer 17

lymphadenopathy + violet lesion

azithromycin

Question 18

cause of cat scratch disease?

tx?

Answer 18

Bartonella hanselae

doxycyclin
macrolide

Question 19

symptom of lymphoma?

Answer 19

painless neck mass

Question 20

kid presents w lump that keeps getting bigger, diagnosis?

cells causing?

Answer 20

rhabdomyosarcoma

cells that develop skeletal muscle

Question 21

symptoms of kawasaki disease?

Answer 21

fever >5 days
conjunctivitis
strawberry tongue
cervical LAD
red palms and soles

Question 22

when do most hemangiomas resolve?

Answer 22

10 yo

Question 23

common comorbidity in torticollus?

Answer 23

hip dysplasia