Do Otherwise Well, Healthy Children With Palpable Cervical Lymph Nodes Require Investigation With Neck Ultrasound?

### Clinical bottom lines\n\nYou are the speciality registrar seeing a 6-year-old girl in clinic who was referred by her general practitioner (GP) with a 4-week history of ‘persistent lymphadenopathy’. She is otherwise well with no fever, recent history of illness or infection. There is no medical history of note. There are palpable cervical lymph nodes on examination. There is no hepatosplenomegaly. The GP has also referred the patient for an urgent neck ultrasound in which the request states ‘persistent lymphadenopathy, otherwise well, exclude malignancy’.\n\nDo otherwise well, healthy children …