Peds LAD Flashcards
most important in workup of child with LAD
history and physical
what would be “good” qualities of lymph nodes
what would be “bad” qualities of lymph nodes
good:
located where you expect them to be, soft, mobile, not warm, not red, not tender, patient feeling okay
bad:
multiple locations of nodes, very large nodes, matted and “stuck down”, fluctuant, tender, associated with big liver/spleen
what should you always check in a peds patient with LAD
liver/spleen size
if watchful waiting is the plan with a peds LAD pt, what must you do
lock pt into follow up with instructions to return sooner if things get worse
if lab/imaging is performed in a patient you are concerned about, what should you do
look for the results - don’t wait for them to show up in your box
what is the best test for an enlarged or unusual lymph node
excisional biopsy
viral causes of LAD in kids
EBV, HIV
bacterial causes of LAD in kids
cat scratch disease (axillary LAD)
tularemia (has pt been skinning rabbits?)
staph/strep
what is the most common tumor of infancy
hemangioma
if you see any growth or deep dimple (that you can’t see the bottom of) over a baby’s lumbo/sacral area, what tests should you do
MRI or US to check for spinal cord or vertebral abnormality
blueberry muffin baby indicates what
neuroblastoma
beckwith-wiedmann syndrome is associated with what childhood tumor
wilm’s tumor
describe beckwith wiedmann syndrome
macroglossia, organ enlargment, hemi-hypertrophy, omphalocele, Wilm’s tumor
what is the most common malignancy in kids < 10 years old
leukemia
what is the most common malignancy in adolescents 15-19 y/o
hodgkin lymphoma
