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8 Cards in this Set

  • Front
  • Back
DDX for midline neck lesion/mass in a child
-Thyroglossal duct cyst
-Dermoid cyst
-Submental lymph node
DDX for a lateral neck lesion/mass in a child
-Branchial cleft cyst or sinus
DDX for an umbilical lesion/mass in a child
-Umbilical hernia
-Umbilical granuloma
-Patent urachus
-Persistant omphalomesenteric duct sinus
For Umbilical hernias give relevant
-natural history
-tx (when and what)
-failed closure of umbilical fascial ring
-prevalence 2:1 black:white
-usually closes in 2-3 years.
-Tx if:
*4-5 y/o
*hx of incarceration
umbilical granuloma
-residual hypertrophic granulation tissue
-Tx silver nitrate (caution!)
Yellow serous drainage from an umbilical lesion.
-Name of anomaly
-dx tests
-Patent urachus
-precordial connection b/w allantois and fetal bladder
-complication: possible bladder outlet obstruction
-dx tests: voiding cystourethrogram, US of kidneys and bladder
DDX for abdominal wall defect in children
Differences between Gastroschisis and Omphalocele
Omphalocele is midline,30-50% of these kids have coexisting midline defects (cardiac, diaphram, bladder, sternum)

Gastroschisis is lateral (right), 10% have associated intestial atresia