Oncology- Abdominal Masses

Portable Peds

Today we’ll be covering Abdominal Masses, going along with this month’s theme, Oncology. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

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Today’s Case:

An 18 month old male presents to urgent care with his mother. She is concerned about a head injury because he has two black eyes, and his eyes have been moving abnormally over the past week. No known trauma. Additionally, she feels he may have a “bigger belly than before” and looks thinner. Vital signs show temperature of 101°F, heart rate of 120 bpm, blood pressure of 110/70, and respiratory rate of 20 bpm. On physical exam, you note a protuberant, tender abdomen with a palpable, immobile mass on the right side that extends to the left, along with periorbital bruising on the right, and saccadic eye movements. What is the most likely diagnosis for this child?

1. Wilms Tumor
2. Non-accidental trauma
3. Leukemia
4. Neuroblastoma
5. Hepatoblastoma

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

Intro/Outro- Hotshot by Scott Holmes

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

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