Adult LAD Flashcards
anterior cervical LAD indicates what possible infections or malignancies
infections: EBV, CMV, toxoplasma
malignancy: lymphoma, CLL, head/neck CA
posterior cervical LAD indicates what possible infections or malignancies
infections: EBV, TB
malignancy: lymphoma, CLL, head/neck CA
supraclavicular lymphadenopathy indicates what
right sided? left sided?
high probability of malignancy
right sided: cancer in mediastinum, lung, esophagus
left sided: abdominal malignancy (Virchow’s node)
axillary lymphadenopathy indicates what possible infections, malignancies, inflammatory conditions
infection: cat scratch dz
malignancy: skin CA, breast CA
inflammation: silicone breast implants
epitrochlear lymphadenopathy indicates what possible infections, malignancies, inflammatory conditions
infections: tularemia, strep infections, cat scratch dz, secondary syphilis
malignancy: lymphoma
inflammation: sarcoid
inguinal lympadenopathy indicates what possible infections, malignancies
infection: lower extremity, STD
malignancy: lymphoma, melanoma, non-melanoma skin CA, GU, anus/rectum
palpable nodule in the umbilicus indicates what most likely
(sister mary joseph node/nodule)
metastasis from intraabdominal or intrapelvic malignancy
most commonly GI cancer but in women 25% are gyn cancer
generalized lymphadenopathy (non-localized) might indicate what dz processes
HIV, mycobacterial infection, viral (mono), inflammatory conditions (SLE)
what size are abnormal nodes
greater than 1cm
compare causes of hard nodes and firm, rubbery nodes
hard nodes: cancers that induce fibrosis and when previous inflammation has left fibrosis
firm, rubbery: lymphomas and chronic leukemia
benign causes of splenomegaly
- congestive
- inflammation
- infection
- infiltration
- hypersplenism
malignant causes of splenomegaly
- lymphoma
- acute and chronic leukemia
- myeloproliferative neoplasms
- primary splenic tumors
- metastatic solid tumors
