Wilms Tumour (Nephroblastoma) |
- Painless, palpable abdominal mass, usually unilateral
- Hematuria in some cases
- May present with hypertension
- Common in children aged 2-5 years
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- Abdominal ultrasound
- CT or MRI for further evaluation
- Chest X-ray/CT for metastasis (lungs)
- Biopsy or surgical excision for histopathology
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- Surgical resection (nephrectomy)
- Chemotherapy and/or radiotherapy
- Postoperative follow-up and surveillance
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Neuroblastoma |
- Abdominal mass, often crossing the midline
- May present with systemic symptoms (fever, weight loss)
- Periorbital ecchymosis ("raccoon eyes") in metastatic cases
- Paraneoplastic syndromes (hypertension, diarrhea) may occur
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- Abdominal ultrasound
- CT or MRI of the abdomen
- Urine catecholamines (VMA, HVA)
- Biopsy for histological diagnosis
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- Chemotherapy, surgery, and/or radiation therapy
- Bone marrow transplant for high-risk cases
- Long-term follow-up for recurrence
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Hydronephrosis |
- Flank mass or swelling
- May present with urinary tract infection (UTI)
- Abdominal discomfort or pain
- History of urinary obstruction (e.g., congenital anomaly)
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- Renal ultrasound
- Voiding cystourethrogram (VCUG) to assess obstruction
- Renal function tests
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- Treatment of the underlying cause of obstruction
- Antibiotic prophylaxis for recurrent UTI
- Surgical correction (e.g., pyeloplasty) if indicated
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Mesenteric Lymphadenitis |
- Fever and abdominal pain, often mimicking appendicitis
- Palpable, tender mass in the lower abdomen
- Common in children following viral or bacterial infection
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- Abdominal ultrasound
- Blood tests (CBC, inflammatory markers)
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- Supportive care (analgesia, fluids)
- Antibiotics if bacterial infection is confirmed
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Ovarian Cyst (in adolescent females) |
- Lower abdominal or pelvic pain
- Palpable mass or fullness in the abdomen
- May cause irregular periods or acute pain if torsion occurs
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- Pelvic ultrasound
- Blood tests (hormone levels, pregnancy test)
- CT or MRI if malignancy is suspected
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- Observation for small, asymptomatic cysts
- Surgical intervention for large or symptomatic cysts, especially if torsion is suspected
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Intussusception |
- Intermittent abdominal pain (colicky)
- Sausage-shaped mass palpable in the abdomen
- Red currant jelly stool
- Vomiting and lethargy
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- Abdominal ultrasound (target sign)
- Air or contrast enema (diagnostic and therapeutic)
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- Non-surgical reduction via air or contrast enema
- Surgical intervention if enema fails or in cases of perforation
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