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8 Cards in this Set
- Front
- Back
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DDX for midline neck lesion/mass in a child
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-Thyroglossal duct cyst
-Dermoid cyst -Submental lymph node -Goiter |
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DDX for a lateral neck lesion/mass in a child
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-Branchial cleft cyst or sinus
-Lymphadenitis -Lymphoma -Lymphangioma -Torticollis -pyelomatrixoma |
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DDX for an umbilical lesion/mass in a child
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-Umbilical hernia
-Umbilical granuloma -Patent urachus -Persistant omphalomesenteric duct sinus |
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For Umbilical hernias give relevant
-etiology -epidemiology -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: *proboscoid *4-5 y/o *hx of incarceration |
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umbilical granuloma
-what -Tx |
-residual hypertrophic granulation tissue
-Tx silver nitrate (caution!) |
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Yellow serous drainage from an umbilical lesion.
Give: -Name of anomaly -etio -complication -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 |
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DDX for abdominal wall defect in children
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-Gastroschisis
-Omphalocele |
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Differences between Gastroschisis and Omphalocele
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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 |
