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Parm > lymphadenopathy > Flashcards

lymphadenopathy Flashcards

1
Q

symptom duration of acute, subacute and chronic

A

symptomduration:
* acute: <2 weeks
* subacute: 2-6 weeks
* chronic: >6 weeks

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2
Q

medical history includes

A

symptomduration:
* acute: <2 weeks
* subacute: 2-6 weeks
* chronic: >6 weeks
* associated symptoms?
* animal exposure?
* insect bite?
* travel?
* medications?
* immunization status

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3
Q

Physical examination

A
  • size ( >1 cm (inguinal >1,5 cm)
  • localization (only one region OR
    generalized - more than one noncontiguous region)
  • consistency (Fluctuance? Hard?)
  • fixation
  • tenderness
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4
Q

cervical lymph nodes regions

A

occipital
posterior auricular
preauricular
submental, submandibular
cervicalis

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5
Q

causes of occipital LN

A

Scalp infections, insect bites,
seborrhea, HHV6,

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6
Q

causes of posterior auricular LN

A

Rubella, HHV6-7

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7
Q

Preauricular LN causes

A

Eye or conjunctival inf.

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8
Q

Submental, submandibular LN causes

A

Tongue, gum, buccal and
dental inf

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9
Q

swollen Cervical LN
what is more common viral or bacterial

A

viral

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10
Q

cervicalis LN caues

A

Viral upper respiratory inf.,
pharyngitis, oral cavity inf.,
adenitis, tbc, EBV, CMV, cat
scratch disease

Less common: toxoplasmosis

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11
Q

Acut unilateral cervical infection is most commonly ?
viral or bacterial?
how many %?
common and less common infections

A

(>80% bacterial)
Common S. aureus, S. pyogenes, anaerobes

Less common Tularaemia, GBS

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12
Q

Acut bilateral cervical LN common viruses

A

Adenovirus, enterovirus,
influenza, S. pyogenes, EBV,
CMV, HSV

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13
Q

Acut bilateral cervical LN less common viruses

A

HHV6,
Parvovírus-B19 (aplastic anemia)

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14
Q

Chronic unilateral cervical LN common causes

A

B. henselae,
Nontuberculous mycobacteria

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15
Q

Chronic unilateral less common causes

A

T. gondii, Actinomycosis

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16
Q

Chronic bilateral cervical LN common causes

A

EBV, CMV

17
Q

Chronic bilateral cervical LN less common causes

A

TBC,
T. gondii,
T. pallidum,
Brucellosis,
HIV

18
Q

Supraclavicular has —- risk of malignancy in children

A

**high risk **of malignancy (up to 75 percent) in children

19
Q

supraclavicular malignancies in children

A
  • leukemia
  • lymphoma
  • histiocytosis
  • neuroblastoma
  • germ cell tumors
20
Q

axillary LN common causes

A

Cat scratch disease,
skin or soft tissue
infections

21
Q

axillary LN less common causes

A

Brucellosis,
Yersinia,
Toxoplasmosis

22
Q

Generalized infectious viruses

A
23
Q

Generalized - infectious funguses

A
24
Q

generalized infectious bacterias

A
25
Q

generalized infectious spirochetal

A
26
Q

generalized infectious parasite

A
27
Q

generalized non infectious
primary neoplasms

A

hodgkin - grows very slowly
-prognosis : 90%

non-hodgkin ( 50% is burkit, if you cut burkit LN : you see some kinda fluid but not fluid)
-prognosis >80%

28
Q

generalized non infectious
metastatic neoplasms

A
29
Q

do we do Fine needle aspiration?

A

NOOOOOOOO

30
Q

do we do Fine needle aspiration?

A

NOOOOOOOO

31
Q

WHY SHOULD WE AVOID gLUCOCORTICOID??

A

to exclude ALL
as it’s very sensitive to steroid ; it can interfere with the diagnosis

32
Q

generalized non-infectious immunologic disorders

A
33
Q

generalized non-infectious metabolic disorders

A
34
Q

generalized non-infectious disorders due to drugs

A
35
Q

generalized non-infectious miscellaneous disorders

A
36
Q

do we do Fine needle aspiration?

A

NOOOOOOOO

37
Q

do we do Fine needle aspiration?

A

NOOOOOOOO

38
Q

do we do Fine needle aspiration?

A

NOOOOOOOO

Parm (15 decks)

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