Paeds

Question 1

An 1-year-old boy was referred to our institution with painful swelling in his mouth. On history taking, his parents reported that the swelling was present for 6–7 months which was earlier small and painless but now has increased in size up to 5 cm × 6 cm. Initially, the patient was seen by a physician who prescribed antibiotic/anti-inflammatory therapy, however, the treatments were ineffective, and he was, therefore, referred to us.

1. Likely Diagnosis?
2. Buzz word.
3. Investigations.
4. Management

Answer 1

1. Rhabdomyosarcoma
2. Unexplained expanding lump, Expanding lump, Nasal obstruction
   Proptosis
   3.urgent US scan within 48hrs
   CT or MRI scan for further differentiation
   Core-needle biopsy for diagnosis confirmation
3. surgery to remove the tumor if it can be done without causing major damage or disfigurement