Lymph Exam Flashcards

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1
Q

Exam, lab, imaging for lymphs

A

Physical exam (swollen, non-tender)
CBC w/ differential
Biopsy

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2
Q

Exam, lab, imaging for spleen

A

Abdominal exam
CBC
US or CT

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3
Q

Exam, lab, imaging for liver

A

Abdominal
Enzymes
US or MRI

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4
Q

Exam, lab, imaging for thymus and tonsils

A

Throat exam

CBC w/ diff, culture

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5
Q

Electrophoresis is for?

A

Bone marrow

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6
Q

Inspection

A

Neck, axillary and inguinal areas for swelling and red streaks

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7
Q

Palpation for lymphs

A

Submental, submaxillary (submandibular), tonsillar, preauricular, postauricular, occipital, posterior cervical chain, deep cervical chain (hook finger around SCM), superficial cervical

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8
Q

Virchow or sentinel node indicates

A

metastasis

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9
Q

Right supraclavicular node drains

A

right arm, right half of head, face, and chest

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10
Q

Left supraclavicular node drains

A

everything else

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11
Q

When palpating the axillary what 4 walls do you palpate?

A

Pec major (ant)
T2-T6 (medial)
Lats (post)
Humerus (lat)

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12
Q

What do you do with lymphangitis (red streak)?

A

ER referral

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13
Q

What do you do with lymphadenopathy?

A

monitor

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14
Q

What do you do with lymphoma (tumors)?

A

biopsy

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15
Q

Non-tender and matted is malignant or benign?

A

malignant

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16
Q

Tender and mobile is malignant or benign?

A

benign

17
Q

EB virus causes

A

Mono

18
Q

Reed Sternberg cause

A

Hodgkins

19
Q

HIV / Non-functioning T-cells causes

A

AIDS

20
Q

Fever, sore throat, fatigue

A

Mono

21
Q

Relapsing fever, pruritus, weight loss, swollen neck

A

Hodgkin’s

22
Q

Weight loss, ARC Opportunistic diseases, TB, thrush, herpes, candida, toxoplasmosis, kaposi sarcoma, pneumocystici carinii, dysentery

A

AIDS

23
Q

For mono is chest xray positve or negative?

A

negative

24
Q

Chest xray findings for hodgkins

A

mediastinal widening

25
Q

Chest xray findings for AIDS

A

variable

26
Q

CBC w diff
Paul Bunnel
Atypical lymphocyte
Heterophile Agglutination

A

Mono

27
Q

Biopsy lymph nodes

A

Hodgkins

28
Q

ELISA, Western Blot

T-cells (CD4)

A

AIDS

29
Q

Treatment is co-care, adjust, rest, stress, management, immune boosters

A

Mono

30
Q

Treatment is co-care with oncologist, adjust, immune boosters

A

Hodgkins

31
Q

Treatment is co-care, adjust, immune boosters

A

AIDS

32
Q

Multiple Myeloma AKAs

A

Plasma cell cytoma
1st degree bone cancer
Round Cell tumor