The mother of an 18-month-old child is concerned that her child is lethargic and is not eating foods that he normally enjoys. She takes him to the pediatrician for a check-up
Which of the following clinical manifestations would lead the health care provider to suspect the child may have a neuroblastoma? Select all that apply.
A)
Large protruding abdomen
B)
Excessive burping
C)
Weight loss
D)
Large amount of pale urine
E)
Crying when position is changed
Ans:
A, C, E
Feedback:
Neuroblastomas are the second most common solid malignancy in childhood after brain tumors. Clinical manifestations vary with the primary site (usually the adrenal glands) and include large abdominal masses, fever, and possibly weight loss. Bone pain suggests metastatic disease.
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