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Pediatric emergency medicine trisk 2666 2666
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TABLE 98.2
COMMON PRESENTING SYMPTOMS AND SIGNS OF PEDIATRIC
CANCER
Symptoms and signs
Acute
leukemia '
1
Abdominal mass
Anorexia
Back pain
Cord compression
Cranial nerve palsies
Diarrhea
Diplopia
Epis taxis
Fever
Failure to thrive
Gait abnormality
Gastrointestinal bleeding
Headache
Head/ neck mass
Hepatomegaly
Hypertension
Irritability
Limp
Lymphadenopathy
Malaise
Nasal obstruction
Pallor
Petechiae
Proptosis
Respiratory distress
Testicular mass
Seizures
Splenomegaly
Vomiting
Weight loss
Lymphoma
Histiocytic
Wilms
diseases
tumor
+
+
+
+
+
+
+
+
±
±
+
+
±
+
Neuroblastoma
+
+
+
+
Hepatic
Ovarian
tumors
tumors
+
+
+
Testicular Soft tissue
sarcomas
tumors
Bone
Central nervous
tumors
system tumors
+
+
±
±
±
+
+
+
+
+
+
+
+
+
+
±
+
+
+
+
+
+
+
+
+
+
+
±
±
+
+
±
±
+
+
+
+
+
±
+
+
+
+
+
+
+
+
+
-
±
±
±
+
+
+
+
±
+
+
+
+
±
+
+
+
+
+
+
+
+
+
+
±
+
+
+
±
+
+
+
+
+
+
+
+
+
+
+
±
±
+
+
+
+
+
+
+
+
-
+
+
"Patients with solid tumors invading the marrow may have symptoms and signs similar to those seen in leukemia .
+
+
+
±
