Childhood Cervical Lymphadenopathy – fluctuancy
Date First Published:
June 27, 2011
Last Updated:
July 9, 2011
Report by:
Jannah Radzif, Medical Student (University of Manchester)
Search checked by:
Jannah Radzif, University of Manchester
Three-Part Question:
In [children who present to the ED with cervical lymphadenopathy], does the [fluctuancy of lymph node] [help in making a diagnosis]?
Clinical Scenario:
A 5 year old boy was brought in to the ED by his parents who were worried about a lump in their child's neck which has been present for a week. The child was noted to be restless and has a temperature. The family just came back from Pakistan 2 weeks ago. On clinical examination, the doctor noticed that the lump is warm and fluctuant. What further investigations should be done?
Search Strategy:
Ovid MEDLINE(R) 1948 to June Week 3 2011 and
Embase 1980 to 2011 Week 25 and
CINAHL
[lymphadenopath$.mp. OR exp Lymph/ OR node$.mp.]
AND
[exp Neck/ or neck.mp. OR cervical.mp. OR anterior triangle.mp. OR posterior triangle.mp. OR lymph nodes.mp. OR exp Lymph Nodes/]
AND
[exp child/ OR child$.mp. OR exp pediatrics/ OR pediatric$.mp. OR paediatric$.mp. OR perinat$.mp. OR neonat$.mp. OR newborn$.mp. OR infan$.mp. OR bab$.mp. OR toddler$.mp. OR boy$.mp. OR girl$.mp. OR kid$1.mp. OR school?age.mp. OR juvenil$.mp. OR under?age$.mp. OR teen$.mp. OR minor$.mp. OR pubescen$.mp. OR adolescen$.mp. OR infan$.jw. OR child$.jw. OR pediatric$.jw. OR paediatric$.jw. OR adolescen$.jw.]
limit to (english language and humans)
Embase 1980 to 2011 Week 25 and
CINAHL
[lymphadenopath$.mp. OR exp Lymph/ OR node$.mp.]
AND
[exp Neck/ or neck.mp. OR cervical.mp. OR anterior triangle.mp. OR posterior triangle.mp. OR lymph nodes.mp. OR exp Lymph Nodes/]
AND
[exp child/ OR child$.mp. OR exp pediatrics/ OR pediatric$.mp. OR paediatric$.mp. OR perinat$.mp. OR neonat$.mp. OR newborn$.mp. OR infan$.mp. OR bab$.mp. OR toddler$.mp. OR boy$.mp. OR girl$.mp. OR kid$1.mp. OR school?age.mp. OR juvenil$.mp. OR under?age$.mp. OR teen$.mp. OR minor$.mp. OR pubescen$.mp. OR adolescen$.mp. OR infan$.jw. OR child$.jw. OR pediatric$.jw. OR paediatric$.jw. OR adolescen$.jw.]
limit to (english language and humans)
Outcome:
No papers were found
Author Commentary:
No papers were found to answer this question resulting in a negative BET.
Bottom Line:
Inconclusive due to insufficient evidence.