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A 3-year-old toddler is brought into the clinic. The parents report they found a "lump" in the stomach area when bathing the child last night. Blood pressure is elevated (110/68 mm Hg) and there has been a weight gain of 8 pounds since the last visit. A "clean catch" urine dipstick screen is positive for blood. What is a potential diagnosis based upon the current data?

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Emilyteller2003

Answer:

Explanation:

Nephroblastoma ( Wilms tumor) presents with an enlarging asymptomatic abdominal mass before the age of 5 years. Many tumors are discovered by the child's parent who feels or notices an abdominal swelling, usually while dressing or bathing the child. Other presenting complaints include vague abdominal pain, hematuria, anemia, and fever. Hypertension may be present

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