Fontanelle paediatric education

Lymphadenopathy in children Topic 5 of Healthier Together withe Dr Phil Wylie


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Lymphadenopathy in children can be worrying for parents and clinicians. Enlarged lymph nodes are incredibly common and represent the body's normal response to infection. Common in the neck and groin. Often under 2cm and mobile. Dr Phil Wylie consultant paediatrician explains how to approach diagnosis and management by knowing what to ask in the history and what to look for when examining the child. The diagnoses covered here are: -lymphadenitis -reactive lymphadenopathy -eczema -cat scratch disease -atypical mycobacteria -malignancy (lymphoma) Lymphadenopathy is unlikely to be the presenting feature of leukaemia. Red Flags: -over 2 cm and growing, -supraclavicular or popliteal nodes, -weight loss, -night sweats, -bone pain, -itching, -hepatosplenomegaly, -pallor, -unexplained bruising. With reference to Healthier Together Clinical Pathway https://what0-18.nhs.uk/download_file/493/0 Please subscribe and leave a review on iTunes
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