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A 2-Year-Old Boy Is Brought to the Emergency Department by His

question 147

Multiple Choice

A 2-year-old boy is brought to the emergency department by his parents after they discovered an abdominal mass while giving him a bath this evening. The mass does not appear to be causing the patient pain. He has had constipation for the last 2 weeks, which the parents have treated with stool softeners. His parents are also concerned that his face and neck become red and that his palms perspire several times a day even when he is cold. The patient has also had decreased energy and a 1.5 kg (3.3 lb) weight loss in the last month despite a normal appetite. He has no chronic medical conditions, has had no surgeries, takes no medications, and has no known allergies. Temperature is 37.2 C (99 F) , blood pressure is 140/90 mm Hg, and pulse is 120/min. Physical examination reveals a toddler who appears in no distress. The lungs are clear to auscultation. Heart rate and rhythm are normal; there are no murmurs. The abdomen is soft and nontender; a baseball-sized, nontender, fixed mass is palpable in the right mid-abdomen. Which of the following is the most likely diagnosis for this patient?

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Definitions:

Heart Rate

The number of heartbeats per minute, an indicator of cardiovascular health.

Activity Intolerance

A state in which an individual has insufficient physiological or psychological energy to endure or complete required or desired daily activities.

Aerobic Exercise

Physical activity that relies on the aerobic energy-generating process, involving the intake of oxygen to sufficiently meet energy demands during exercise.

Exercise Log

A record-keeping tool used to track physical activity, workouts, and fitness progress over time, aiding in goal setting and motivation.