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A 14-Year-Old Female With Chest Mass, Shortness of Breath, and Hypertension.
Pediatrics ( IF 8 ) Pub Date : 2022-10-01 , DOI: 10.1542/peds.2021-055380
Kelsey Kirkman 1, 2 , Zachary D Prudowsky 1, 2 , Shweta Shah 1, 2 , Gail Demmler Harrison 1, 2 , Seema Rao 1, 2 , Adam Cohen 1, 2
Affiliation  

BACKGROUND A previously healthy 14-year-old girl was evaluated in the emergency department (ED) with 2 months of shortness of breath and fatigue. METHODS She initially presented to her primary pediatrician, where a complete blood count was only significant for mild anemia, thyroid function tests were normal, and a chest x-ray revealed a chest mass. This prompted her primary pediatrician to order a computed tomography scan and refer to the ED. RESULTS Her computed tomography scan confirmed a mediastinal mass versus necrotic lymphadenopathy. Her initial physical exam was unremarkable, except for hypertension. From the ED, she was admitted to the pediatric hospital medicine service. Infectious disease, oncology, and nephrology services were consulted to guide diagnostic evaluation. CONCLUSIONS Eventually, during her hospitalization, further history and workup led to a definitive diagnosis.

中文翻译:

一名 14 岁女性,胸部肿块、呼吸急促和高血压。

背景 一名既往健康的 14 岁女孩在急诊科 (ED) 接受了 2 个月的呼吸急促和疲劳评估。方法 她最初就诊于她的初级儿科医生,全血细胞计数仅对轻度贫血有意义,甲状腺功能检查正常,胸部 X 光片显示胸部肿块。这促使她的主要儿科医生订购了计算机断层扫描并转诊至 ED。结果 她的计算机断层扫描证实纵隔肿块与坏死性淋巴结肿大。除了高血压,她最初的身体检查没有什么异常。从急诊室,她被送进了儿科医院内科。咨询了传染病、肿瘤学和肾病学服务以指导诊断评估。结论 最终,在她住院期间,
更新日期:2022-09-08
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