Approach to head and neck masses (pediatrics) Quiz: Ace Your Exams
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A 3-year-old boy is brought to the emergency department due to a rapidly enlarging neck mass and increased difficulty in breathing over the past 6 hours. According to the parents, the child awoke with mild neck swelling that progressively increased throughout the day. The child has become increasingly irritable and is having difficulty swallowing. He has not consumed any food has been consumed since breakfast, and the parents report increased drooling. There is no history of trauma or recent upper respiratory illness. Vaccinations are up-to-date. Respiratory rate is 52/min. The child appears cyanotic. A mass is visible on the left lateral aspect of the neck, extending from the angle of the mandible to the clavicle. The overlying skin is taut but not erythematous. Inspiratory stridor and suprasternal and intercostal retractions are observed. Which of the following is the best next step in management?
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