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Pediatric Rounds Review Questions
A Child with an Abdominal Mass

Answer 3

  1. Urine culture. This case patient has a history and physical examination findings consistent with a malignancy. A urine culture is unlikely to be helpful in defining the abdominal mass. Initial radiologic evaluation should include an ultrasound to identify the structural characteristics and the organ of origin of the mass. A complete blood count can show varying degrees of pancytopenia with extensive bone marrow involvement. Electrolyte abnormalities may be seen with renal infiltration or with tumor lysis syndrome. Hematuria or proteinuria can be noted on urinalysis when there is involvement of the renal system.

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