pediatric Lymphadenopathy Flashcards
What places are common to find lymph nodes?
cervical
Axillary
Inguinal
If you find a lymph node here you should always be vigilant
supraclavicular
What is the most important component of the workup of lymphadenopathy
history and physical
What size of lymph node is considered enlarged
greater than 2 cm
if you have generalized lymphadenopathy with 2 or more nodal groups involved, what should you start thinking
systemic disease
-if child isn’t growing well, think HIV
What is a marker for hematologic malignancies
LDH (lactate dehydrogenase)
triad for parinaud’s syndrome?
What disease is this mentioned with?
- conjunctivitis
- preauricular adenitis
- conjunctival granuloma
Cat scratch disease . . lymphadenopathy
What is indicated if there is a testicular mass, especially painless without history of trauma/injury
chest radiograph . .likely a malignancy
Where are teratomas most common
sacrococcygeal
3 most common malignancies in children under 10
- Leukemia
- Neuroblastoma
- Wilms tumor
- tumor of sympathetic ganglia and adrenal medulla
- children under 2 as Large abdominal mass and fever
- blueberry muffin baby
neuroblastoma
about 90% of neuroblastomas produce what?
catecholamines
-elevated VMA and HVA
most common primary renal tumor of childhood
Wilms tumor
3 subtypes of Wilms
- WAGR
- Denys-Drash syndrome
- Beckwith-Wiedemann syndrome
Wilms: Aniridia, genital anomalies, mental retardation
WAGR
