Cervical Lymphadenopathy Flashcards Preview

Year 3 - Neck Lumps > Cervical Lymphadenopathy > Flashcards

Flashcards in Cervical Lymphadenopathy Deck (9)
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1
Q

What are the causes of acute cervical lymphadenitis?

A

Bilateral:

  • usually caused by viral upper respiratory tract infection
  • streptococcal pharyngitis
2
Q

What are the causes of unilateral cervical lymphadenopathy?

A

Unilateral:

  • Staphylococcal infection
  • mycobacterial (TB)
  • metastatic
3
Q

What are the causes of bilateral cervical lymphadenopathy?

A
  • viral respiratory infection
  • cat scratch disease
  • EBV
  • streptococcal pharyngitis
  • CMV
  • HIV
  • metastatic
4
Q

How is tuberculosis lymphadenitis treated?

A
  • incision drainage
  • evacuation of abscess
  • anti tubercular Abx treatment
5
Q

What is cat scratch disease?

A
  • usually occurs in children after a bite or a scratcg
  • benign disease
  • tender swollen, red lymph node
  • unilateral
  • 1- 3 weeks after inoculation
  • splenomegaly
6
Q

When does cervical lymphadenopathy represent primary malignancy?

A
  • Lymphoma (hodgkins and non hodgkins)

- lymphocytic leukemia

7
Q

What do metastatic lymph nodes feel like?

A
  • hard / rubbery
  • fixed to underlying tissues
  • can be tender
8
Q

what is the pathology of tuberculosis lymphadentitis?

A
  • chronic granulomatous inflammation of the lymph node with caseation necrosis
  • caused by mycobacterium tuberculosis or bovis.
9
Q

what are the investigations for cervical lymphadenopathy?

A
  • USS (shows lump consistency)—> cystic, solid, complex, vascular
  • fine needle aspiration
  • CXR - shows hilar lymphadenopathy / malignancy
  • virology
  • manoux test (for TB)