Cervical Lymphadenopathy Flashcards Preview

Year 3 - Neck Lumps > Cervical Lymphadenopathy > Flashcards

Flashcards in Cervical Lymphadenopathy Deck (9)
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1

What are the causes of acute cervical lymphadenitis?

Bilateral:
- usually caused by viral upper respiratory tract infection
- streptococcal pharyngitis

2

What are the causes of unilateral cervical lymphadenopathy?

Unilateral:
- Staphylococcal infection
- mycobacterial (TB)
- metastatic

3

What are the causes of bilateral cervical lymphadenopathy?

- viral respiratory infection
- cat scratch disease
- EBV
- streptococcal pharyngitis
- CMV
- HIV
- metastatic

4

How is tuberculosis lymphadenitis treated?

- incision drainage
- evacuation of abscess
- anti tubercular Abx treatment

5

What is cat scratch disease?

- 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

When does cervical lymphadenopathy represent primary malignancy?

- Lymphoma (hodgkins and non hodgkins)
- lymphocytic leukemia

7

What do metastatic lymph nodes feel like?

- hard / rubbery
- fixed to underlying tissues
- can be tender

8

what is the pathology of tuberculosis lymphadentitis?

- chronic granulomatous inflammation of the lymph node with caseation necrosis
- caused by mycobacterium tuberculosis or bovis.

9

what are the investigations for cervical lymphadenopathy?

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