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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)

Search Outcome

No papers were found

Comment(s)

No papers were found to answer this question resulting in a negative BET.

Clinical Bottom Line

Inconclusive due to insufficient evidence.