Lympatic System

Question 1

Lymphadenopathy

Answer 1

Enlarged lymph nodes

Question 2

Lymphadenitis

Answer 2

Inflamed and enlarged lymph nodes

Single node

Question 3

Lymphangitis

Answer 3

Inflammation of the lymphatic vessels that drain an area of infection
Tender erythematous streaks extend proximally from the infected area
Regional nodes may also be tender

Question 4

Supraclavicular nodes

Answer 4

Never normal

Question 5

Lymphedema

Answer 5

Edematous swelling due to excess accumulation of lymph fluid in tissues caused by inadequate lymph drainage

Question 6

Lymphangioma

Answer 6

Congenital malformation of dilated lymphatics

Question 7

Lymphatic filariasis

Answer 7

Vector: mosquito
Worms: Wuchereria Bancroft or Brugia malayi

Question 8

Nodes

Answer 8

Shotty - small, non-tender nodes that feel like BBs, buckshots
Fluctuant - wavelike motion felt when the node is palpated
Matted - group of nodes that feel connected and seem to move as a unit

Question 9

Non-Hodgkin Lymphoma

Answer 9

Usually chest, neck, abdomen, tonsils, skin
Painless
Fever, weight loss, night sweats, abd. pain

Question 10

Hodgkin Lymphoma

Answer 10

Can’t tell apart from above w/exam
Starts in single node then spreads
May have history of infectious mononucleosis

Question 11

Epstein Barr virus mononucleosis

Answer 11

Common in adolescents
Malaise, fatigue, fever, headache, sore throat, nausea, abdominal pain, myalgia
Prodromal 1-2 weeks
Generalized lymphadenopathy
Epitrochlear highly suggestive
Hepatomegaly/splenomegaly
Pharyngitis
Petechia at the junction of the hard/soft palate

Question 12

Roseola Infantum (HHV-6)

Answer 12

Common in infants-2yrs
High grade fever, 3-4 days
Mild resp. illness & lymphadenopathy
Adenopathy discrete and not tender
After fever-fine mobilliform maculopapular rash spreads from trunk to limbs and child feels better