Accuracy of physical examination versus ultrasound in the detection of hepatosplenomegaly at diagnosis of pediatric leukemia

FieldValue
dc.contributor.authorCyr, Janelle
dc.contributor.authorJohnston, Donna L.
dc.date.accessioned2013-06-27T17:23:19Z
dc.date.available2013-06-27T17:23:19Z
dc.date.created2013
dc.date.issued2013-06-27
dc.identifier.urihttp://hdl.handle.net/10393/24269
dc.identifier.urihttp://www.sciedu.ca/journal/index.php/jhm/article/view/2171
dc.description.abstractBackground: Hepatosplenomegaly (HSM) is common at diagnosis of pediatric leukemia and is diagnosed through palpation or ultrasound. We sought to determine if ultrasound was necessary. Methods: Spleen and liver size was recorded from palpation and ultrasound for 94 children with a new diagnosis of leukemia. Results: Palpation was correct in detecting 71% (173/245) of cases of splenomegaly and 68% (172/254) of cases of hepatomegaly. There was no relationship between body mass index and clinician accuracy at diagnosis of HSM. Ultrasound examination had abnormal findings excluding HSM in 56% of patients. Conclusions: Ultrasound examination is a warranted investigation for newly diagnosed children with leukemia.
dc.language.isoen
dc.subjectHepatosplenomegaly
dc.subjectLeukemia
dc.subjectUltrasound
dc.titleAccuracy of physical examination versus ultrasound in the detection of hepatosplenomegaly at diagnosis of pediatric leukemia
dc.typeArticle
dc.identifier.doi10.5430/jhm.v3n1p24
CollectionPublications en libre accès financées par uOttawa // uOttawa financed open access publications
Pédiatrie // Pediatrics

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