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Old 08-09-2012
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Kids Child with palpable kidneys?

A 4-year-old boy is seen in the office for a general check-up. The child appears well nourished and has normal developmental milestones. His temperature is 36.6C(98F), pulse rate is 80/min, and blood pressure is 11 0/70mm Hg. On abdominal palpation, there is a lobular right-sided flank mass, and the kidney are palpable bilaterally.
What is the most likely cause of the flank mass in this child?

A. Tumor originating from the metanephros
B. Malignancy of neural crest cells
C. Polycystic kidney disease, infantile type
D. Renal cell carcinoma, embryonal variant
E. Acquired renal cystic disease
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  #2  
Old 08-09-2012
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A............??????
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Old 08-09-2012
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I would SAY A; Wilms Tumor; because of the absence of the constitutional symptoms Neuroblastoma cause which give it away.
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Old 08-09-2012
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The age and bilaterality...makes it wilms...neuroblastoma is more systemic and younger 2yrs peak
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Old 08-09-2012
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Ans is a

Is wilms meso or meta nephritis?

kidneys are normally palpable in kids I guess the thing is right side flank mass
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Old 08-09-2012
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Wilms histopathology...abortive tubules, and metanephric blastemal cells....definitely from the metanephros
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