Pediatric emergency medicine trisk 2688 2688

Rapidly progressing abdominal distention with diffuse involvement of the GI tract/liver with ascites and pleural effusions (advanced stage) Diffuse large B-cell Painless, hard adenopathy at lymphoma any site, neck/supraclavicular common AMM common, symptoms variable (advanced) Symptom progression can be rapid (advanced stage) Systemic symptoms of malaise, weight loss common with advanced disease GI symptoms/abdominal mass from GI tract and mesenteric nodes involvement Anaplastic large cell Painless, hard adenopathy at lymphoma any site Skin/subcutaneous nodules GI symptoms/abdominal mass from GI tract and mesenteric node involvement Systemic symptoms (fevers, night sweats, weight loss, malaise) common with advanced disease TLS SVC syndrome Tracheal obstruction TLS AMM, anterior mediastinal mass; G6PD, glucose-6-phosphate dehydrogenase Clinical Assessment There may be useful clues to the diagnosis from the history and physical examination A recent history of new-onset asthma in an older child who responded