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A 4-year-old girl is brought to the family practice by her father.

A 4-year-old girl is brought to the family practice by her father. The child has a 2-week history of low-grade fever, fatigue, and sore throat. She has also developed several small, round, mildly tender lumps bilaterally in her neck. She was previously well. Which one of the following is most likely to be found on abdominal examination?

A.

Generalized tenderness

B.

Palpable spleen

C.

Shifting dullness

D.

Renal mass

E.

Abdominal bruit

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