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Cards In This Set
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Lymph nodes >what size should be further eval'ed?
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1 cm
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Worry about what with large lymph nodes?
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Lymphomas, HIV
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Adenopathy > few wks and:
*wt loss, night sweats? *sore throat? *genital lesion? |
*lymphoma, metastatic cancer, tb
*mononucleosis, pharyngitis *syphilis, chancroid |
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Adenopathy > few wks and:
*pets, esp cats? *hx of travel to southwestern U.S? *midwestern US? hx of IVDU or high-risk sexual behavior? |
*cat-scratch disease, toxoplasmosis
*coccidioidomycosis *histoplasmosis *HIV |
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Age is also an imp factor-- much more likely to have malig if over 50. what can cause a pseudolymphoma synddrome?
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Phenytoin= dilantin!
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*tender eythematous nodes-->?
*firm rubbery adenopathy? *hard fixed nodes? |
*lymphadenitis
*lymphoma *metastatic disease |
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*erythema nodosum=tender, red subcut nodules with hilar adenopathy?
*maculopapular rash involving palms and soles? |
*sarcoidosis
*syphilis |
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Gneeral location of adenopathy...think?
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HIV infection, lymphoma, hypersensitivity rxn (including phenytoin), SLE, toxoplasmosis, secondary syphilis
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Cervical adenopathy, think?
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Mono, lymphoma, pharyngitis, toxoplasmsosi, sarcoidosis
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Inguinal adenopathy, think?
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Syphilis, herpes simplex, lyphogranuloma venereum, chancroid
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Supraclavicular adenopathy?
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Mediastinal or pulmonary malig (right), abodminal malig (left)
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Hilar adenopathy?
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Sarcoidosis (bilat), lymphoma, tb, bronchogenic ca (unilat), fungal infection (bilat)
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Bilat epitrocheal adenopathy?
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Secondary syphilis
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Unilat adenopathy proximal to the cat scratch/bite?
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Cat-scratch disease
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*in young person, primary thought is? *first test/look for? *confirm how?
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*mono. *CBC...lymphocytosis (with atypical lymphocytes) *heterophile ab (but may be neg early on)
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