LAD in children Flashcards
what is the size of LNs that make them enlarged
2 cm or bigger
enlargement of ___ nodes is not normal
supraclavicular
if __ or more nodal groups are invovled start thinking what
2, systemic disease
drugs for bartonella henselae
azithromycin
other manifestations of cat scratch disease
eye: parinaud’s sydnrome (conjunctivitis, preauricular adenitis, conjunctival granuloma
neuroetinitis (inflammation of neural retina and optic nerve)
testicular mass, especially painless without history of trauma/injury do what
chest radiograph indiceated
likely a malignancy
TERATOMA
sacrococcygeal are the most common
- benign, well diff cystic lesions
- lesions of indeterminate potential
- unequivocally malignant teratoma
neuroblasmtoma
what cells
tumors of sympathetic ganglia and adrenal medulla
from primordial NCC
most common extracranial solid tumor of childhood
neuroblastoma clinical course and prognositc factors
children under 2 with
fever, large abdrominal mass, wieght loss, blueberry muffin baby
older children: bone pain, respiratory symptoms, gi complaints, periorbital region
90% of neuroblastomas produce what
catecholamines
wilms tumor
most common primary renal tumor of childhood
2-5 yrs of age
90% cure rate
wilms tumor increased with what congenital malformations
WAGR syndrome
wilms tumor, aniridia, genital anomalies, mental retardation
11 p13 deletions
denys drash syndrome
-gonadal dysgenesis, nephropathy, WT1 protein mutation
beckwith wiedemann syndrome
-enlargement of body organs, omphalocele
wilms tumor usually presents with one of following
large abdominal mass hematuria pain in abdromen after trauma intestinal obsturciton htn pulmonary metastases
what cervical LAD is important
posterior cervical
