ENT - pediatric neck mass Flashcards Preview

Year 2 Specialty Medicine > ENT - pediatric neck mass > Flashcards

Flashcards in ENT - pediatric neck mass Deck (27):
1

the majority of pediatric neck masses are ____________ (benign / malignant) and __________ (inflammatory / non-inflammatory

- benign
- inflammatory

2

what are the congenital types of lateral neck masses?

- branchial anomalies
- fibromatosis coli (lump of fibrous tissue, scar, and muscle within the SCM)

3

fibromatosis coli is associated with what condition?

torticollis

4

what is the most common congenital lateral neck mass?

type II branchial cleft cyst

5

at what level are type II branchial cleft cysts located?

level of the cricoid and anterior to SCM

6

embryologically type II branchial cleft cysts are remnants of the division between the _____________

2nd and 3rd branchial arch

7

what is the location / origin of type II branchial cleft cysts?

skin and path between bifurcation of carotid

8

embryologically type I branchial cleft cysts are remnants of the division between the _____________

1st and 2nd branchial arch

9

type III branchial cleft cyst is aka:

piriform sinus fistula

10

embryologically type III branchial cleft cysts are remnants of the division between the _____________

3rd and 4th branchial arch

11

what is the location / origin of type III branchial cleft cysts?

ipsilateral piriform sinus

12

what is the location / origin of type I branchial cleft cysts?

auricle and ear canal, and intertwined with facial nerve

13

what is the most common cause for quick onset of lateral neck mass?

acute viral lymphadenitis

14

what are the two most common causative agents for acute bacterial lymphadenitis?

- s. aureus
- group A beta hemolytic strep

15

diagnosis?

- presents with what apepars to be an infected and slowly enlarging neck mass
- no associated illness and no discomfort or tenderness to palpation
- gradual violaceous changes to the overlying skin with palpable fluctuance
- PPD often positive

atypical mycobacterial infection

16

what is the treatment for atypical mycobacterial infection? what is unusual about it?

- surgical
- supplemental abx

- very slow growing, not a lot of turnover for abx to take effect

17

what is the presentation for cat scratch disease? how is it diagnosed?

- skin lesion at site of inoculation
- body aches, malaise, low grade fever

- diagnosed with serology for antibodies

18

most congenital neck masses are lined with _____________ epithelium

respiratory

19

what are the noninfectious etiologies of lateral neck masses?

- sarcoidosis
- kawasaki
- castelman disease

20

what are the midline neck masses?

- thyroglossal duct cyst
- dermoid cyst
- plunging ranula
- thymic cyst
- ectopic thyroid

21

what is important about the path of a thyroglossal duct?

it goes through the body of the hyoid

22

what is the treatment for hemangioma?

propanolol

23

lymphatic malformations are aka:

cystic hygromas

24

what is the most common neck malignancy UNDER 6 years of age?

neuroblastoma

25

what is the most common malignancy overall in children?

lymphoma

26

what are the abnormality cutoffs for size and age regarding malignancy in children?

- lymph node over 1 cm under 1 yo
- lymph node over 3 cm over 1 yo
- rapidly enlarging nontender long standing mass with overlying changes in skin

27

what is the most common soft tissue malignancy in childhood?

rhabdomyosarcoma