A clinic nurse notes that a child brought in for a physical has swelling and bruising around the eyes. The patient denies any trauma and the parent reports no environmental allergies. Which assessment is most important?
A.
Auscultate lungs bilaterally.
B.
Inspect skin on the back.
C.
Palpate abdomen and neck.
D.
Percuss abdomen and flank.
ANS: C
Swelling and bruising around the face and eyes is often seen in children with neuroblastoma. Most commonly the tumor can be found by palpation of the abdomen or neck, where the tumor will present as a hard, painless mass that crosses the midline.
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