lower leg swelling and lymphadenopathy

Question 1

calf pn and tightness, worst with walking

• unilateral
• excessive immobilization

tx: anti-coagulant therapy, elevated legs

Answer 1

DVT

Question 2

hx of lesion in the leg

• hot, diffuse, swollen
• unilateral

Answer 2

cellulitis

Question 3

• ITCHING and dull ache

- worst when standing

Answer 3

venous insufficiency

Question 4

• sharp burning pn in an area
• mottled, atrophic, cold skin
• aching, throbbing pn with dystrophic changes (sudecks atrophy- regional osteoporosis)

Answer 4

reflex SP dystrophy (CRPS-1)

Question 5

• bilateral leg edema
• difficulty breathing with exertion
• difficulty breathinglying down

Answer 5

CHF

Question 6

pre-tibial edema

Answer 6

hyperthyroidism

Question 7

posterior c/s or postauricular lymph nodes

Answer 7

viral

mononucleosis

Question 8

prearicular lymph nodes

Answer 8

draining the face & eyes:
uvitis & conjunctiva

(reiters)

Question 9

high cervical lymph nodes

Answer 9

carcinoma

Question 10

5 dz that can cause axillary lymph nodes

Answer 10

1. breast mets CA
2. strep, staph
3. brucellosis
4. tularemia
5. cat stratch= toxoplasmosis

Question 11

cayses of lymph involvement at the epitrochlear nodes

Answer 11

1. mono
2. non-hodgkins lymphoma
3. infection of the hand or forearm

Question 12

inguinal lymph nodes

Answer 12

1 ovarian and testicular CA

2. venereal dz
3. PID
4. excessive exercise

Question 13

name the 2 main differences btw non-hodgkin’s and hodgkin’s lymphoma

Answer 13

non-hodgkins: 6-8 yr survical

Hodgkins:

• “Reed Sternberg cells”
• “pruritus/ itching”
• painless mass in neck

Question 14

• splenomegaly
• hepatomegaly
• malignancy of B lymphocytes
• bone marrow failure and organ infiltration

Answer 14

chronic lymphocytic leukemia

50+ yo

Question 15

lymphadenopathy after the resolution of: fever, sore throat, and HA
- oral thrust and leukoplakia

• progressive depletion of T lymphocytes (CD4)

Answer 15

AIDS