Cervical LAD HYHO

Question 1

Size of normal lymph nodes

Answer 1

< 1 cm

Question 2

Infections of what areas cause enlargement of cervical nodes

Answer 2

pharynx, salivary glands, scalp

Question 3

When should an enlarged node be further evaluated?

Answer 3

> 1.5 cm not associated with an obvious infection, persistence and continued enlargement

Question 4

Node characteristics suggesting inflammatory process

Answer 4

rapid growth and tenderness

Question 5

Node characteristics suggesting neoplastic processes

Answer 5

firm, painless, slowly enlarging

Question 6

Bilateral node enlargement suggests…

Answer 6

viral infection

Question 7

Unilateral node enlargement suggests…

Answer 7

bacterial infection

Question 8

Fluctuant node suggests…

Answer 8

abscess (possibly due to S. aureus)

Question 9

Persistent neck masses in young adults are indicative of…

Answer 9

brachial cleft cyst, thyroglossal duct cyst, reactive lymphadenitis

Question 10

Persistent neck masses in adults over 40 are indicative of…

Answer 10

cancer, metastasis from SCC (especially if hx of tobacco and alcohol)

Question 11

Differential ddx for granulomatous neck masses

Answer 11

mycobacterial adenitis, sarcoidosis, cat-scratch disease

Question 12

Usual presentation of granulomatous disease

Answer 12

single or matted nodes

Question 13

Infectious cause of lyme disease

Answer 13

Borrelia burgdorferi transmitted by Ixodes ticks

Question 14

Disseminated symptoms of lyme disease

Answer 14

facial paralysis, dyesthesias, dysgeusia, cranial neuropathies, HA, pain