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Pediatrics. Ch. 23.
Brain Tumors
| Question | Answer |
|---|---|
| What is the first most common type of neoplasm in children | Leukemia |
| What is the second most common type of neoplasm in children | Brain tumors |
| What is a neoplasm | A growth of tissue serving no physiological purpose |
| Where and in who do the majority of childhood tumors occur | Lower part of the brain (cerebellum/brainstem) in school age children |
| What are the symptoms of a brain tumor related to | Size and location of the tumor |
| What do most brain tumors create | Increased ICP with hallmark symptoms |
| What are the hallmark symptoms of increased ICP | Headache, Vomiting, Drowsiness, Seizures |
| What is nystagmus | Constant jerky eye movements |
| What is papilledema | Edema of the optic nerve |
| What are the symptoms of a brain tumor | Increased ICP, Ataxia, Head tilt, Behavioral changes, Cerebral enlargement |
| When do deviations in vital signs become apparent in a child with a brain tumor | When the tumor presses on the brainstem |
| How is a brain tumor diagnosis confirmed | Clinical manifestations, Lab tests, CT, MRI, EEG |
| Why is angiography used with a brain tumor | To assist in surgical approach by identifying the tumor’s blood supply |
| What can identify the tumor’s blood supply | Angiography |
| What is ataxia | Inability to coordinate muscle movements |
| What is an angiography | examination of blood vessels after injection of a radiopaque contrast medium |
| What are the symptoms of increased ICP | Decreased motor and sensory responses, Lethargy, Confusion, Unconsciousness, Bulging fontanelle, Asymmetrical pupil response, Blurred vision, High pitched cry, Vomiting, Crying when moved, Increased blood pressure, Posturing, Seizures |
| What is not to be washed off a child’s head that has brain tumors | Radiology marks |