By Carmen Coombs MD MPH, Arethusa Stevens Kirk MD FAAP
Oski's Pediatric Certification and Recertification Board overview offers entire insurance of all the parts inquisitive about within the board examination. positive factors contain greater than three hundred board-style evaluation questions, a full-color layout and illustrations, and diverse issues to recollect.
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Example text
Cystosarcoma Phyllodes • A rare primary tumor with firm, mobile lesions that can grow quickly to >13 cm. ± association with bloody nipple discharge and skin discoloration. • Diagnose by ultrasound. If malignant, these may metastasize to the chest so a chest CT would be indicated. • May require a wide-margin excisional biopsy or if malignant, chemotherapy, radiation and hormonal treatment. Points to remember • Most common surgically excised breast lesion in adolescents representing 70% to 90% of benign breast lesions • Firm, rubbery, mobile, 2 to 3 cm well circumscribed lesions, typically nontender and most commonly found in the upper outer quadrant of the breast • Giant (or juvenile) fibroadenomas are >5 cm in size and often grow much more rapidly.
B) Adolescent male with Tanner 111â IV genital staging and bilateral breast development with palpable breast buds, front view. ) Breast Masses A thorough history and examination should highlight potential infectious or oncologic etiologies. In the absence of signs suggestive of infection or malignancy, the patient can be observed through at least one complete menstrual cycle. If the mass disappears, it was probably a cyst or fibrocystic breast change. Although many benign breast masses persist for more than 8 weeks, persistent masses should be evaluated with a combination of physical examination, ultrasound (to assess the dimensions and to distinguish cystic from solid masses), and referral to a gynecologist or breast specialist for fine needle aspiration or core biopsy.
Washington, DC: American Psychiatric Association, 2000. Treatment. : Neuroleptic medications are used to deal with acute symptoms, and initiation of a mood stabilizer (lithium carbonate or sodium valproate) may be added for long-term treatment. : Supportive psychotherapy for the child and family is needed to deal with the consequences of the irrational behavior and its effects on family and friends. Somatoform Disorders The somatoform disorders are a group of psychological disorders in which a patient experiences physical symptoms despite the absence of an underlying medical condition that can fully explain their presence.