Paeds Vivas · clinical-assessment-and-reasoning
Lymphadenopathy and organomegaly: diagnostic approach — viva
Branching structured oral on lymphadenopathy and organomegaly.
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Target exams
RACP DCEMRCPCH Clinical
Prompt
A GP refers a 7-year-old with a neck lump for six weeks. You are the paediatric registrar in clinic.
Opening (must-hit)
“I will assess whether the child is unwell, map all node stations plus liver and spleen, classify duration, distribution and character, then choose observation, targeted tests or tissue/specialty referral based on red flags.” [1] [2]
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- [1]Weinstock MS Pediatric Cervical Lymphadenopathy Pediatrics in review, 2018.PMID 30171054
- [2]Grant CN Lymphadenopathy in children: A streamlined approach for the surgeon - A report from the APSA Cancer Committee Journal of pediatric surgery, 2021.PMID 33109346
- [3]Soldes OS Predictors of malignancy in childhood peripheral lymphadenopathy Journal of pediatric surgery, 1999.PMID 10549745
- [4]Roy CF International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of non-tuberculous mycobacterial cervicofacial lymphadenitis International journal of pediatric otorhinolaryngology, 2023.PMID 36764081
- [5]Harris JE Management of Pediatric Persistent Asymptomatic Cervical Lymphadenopathy Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2024.PMID 37418178
- [6]Thompson JA Ultrasound versus fine needle aspiration for the initial evaluation of pediatric cervical lymphadenopathy-A systematic review International journal of pediatric otorhinolaryngology, 2023.PMID 36812785