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Pediatric Rounds Review Questions
A Child with an Abdominal Mas

Answer 2

  1. Pallor. Pallor may be secondary to anemia caused by malignant infiltration of the bone marrow by cancers such as leukemia, lymphoma, or neurblastoma. Hematuria (often microscopic), but not dysuria, may suggest a malignant process affecting the renal system, such as a Wilms’ tumor. Anxiety, especially around strangers, is a normal developmental finding at this age. Regurgitation is a common, nonspecific symptom in infants. Diarrhea is not typically seen with most malignancies. On the contrary, gastrointestinal obstruction with secondary constipation from a mass effect may be a presenting symptom of a malignant lesion.

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