Neck masses in children Flashcards
Give the aetiology of neck masses in children
Infection
Congenital
Tumour
What is the most common cause of neck mass in children?
Infection
Which microorganisms are usually involved in acute infective neck mass in children?
Staph
Strep
Which microorganisms are usually involved in chronic infective neck mass in children?
TB
Atypical mycobacterium
HIV
How does the presentation of acute vs chronic infective neck mass in children differ?
Acute
- multiple, mobile submandibular nodes
- history of fever
- scalp lesions
- ENT infection
Chronic
- single dominant node
- > 6w
Name the treatment of acute infective neck mass in children
Amoxil/augmentin
I&D if abscess
Name the treatment of chronic infective neck mass in children
Excise for culture and histology
Name congenital neck masses in children
Thyroglossal duct cyst Branchial remnants Epidermoid cysts Lymphangioma Haemangioma
Name clinical features of a thyroglossal duct cyst
Smooth Soft Non-tender In the midline Moves up when tongue is protruded
Name the treatment of thyroglossal duct cyst
Complete excision
Where do branchial remnants occur?
Anterior border of sternocleidomastoid
Name the treatment of branchial remnants
Early excision (avoid infection)
What is a common location of epidermoid cysts?
Lateral corner of eyebrow
Name the treatment of epidermoid cyst
Excision
- confirm diagnosis
- cosmesis
Give the clinical features of lymphangioma
Soft
Smooth
Non-tender
Transilluminable
