Lymph Nodes And Spleen Flashcards
Lymphogranuloma venereum trachoma
Chlamydial
Lymphogranuloma venerum trachoma
Chlamydial
Scrub typhus, rickettsial pox, Q fever
Rickettsial
Involvement of a single anatomic area
Localized or regional adenopathy
Involvement of three or more non contiguous lymph node areas.
Infectious mononucleosis, toxoplasmosis, AIDS, SLE, and mix connective tissue disease.
Generalized adenopathy
Frequent site of regional lymphadenopathy
Neck area
Enlargement of these is ALWAYS abnormal.
Suprasclavicular and scalene nodes
Enlargement of supraclavicular lymph node.
Virchow’s lymph node
Injury or localized infection of the ipsilateral upper extremity.
Axillary adenopathy
Secondary to infections or trauma of the lower extremities.
Inguinal lymphadenopathy
Best size limit for distinguishing malignan or ganulomatous lymphadenopathy.
2.25 cm
Histoplasmosis can cause unilateral paratracheal lymph node involvement that mimics lymphoma.
Mediastinal and hilar lymphadenopathy
Contain lymphomas or germ cell tumor.
Enlarged intraabdominal or retroperitoeneal nodes
Accurate for cervical lymph nodes.
Ct and MRI
Reserved for thyroid nodules and for confirmation or relapse in patient.
Fine needle aspiration
2 algorithms for subjecting patient for biopsy.
First, lymph node size> 2 cm in diameter, abnormal chest x- ray had positive predictive values,ENT symptoms had negative predictive values and the second are lymph node size location,age, texture, tenderness
Treat lymphadenopathy
Glucocorticoid
Examiner’s left hand is placed on the lower rib cage and pulls the skin toward the costal margin, allowing the fingertips of the right hand to feel the tip of the spleen as it descends a while the patient inspires slowly, smoothly, and deeply.
Bimanual palpation
The patient is placed on the right side so that the spleen lies above the colon and stomach. Starts at the post. Axillary line and proceed to lower mid anterior costal margin a perpendicular manner. Dullness>8 cm in an adult is presumed to indicate splenic enlargement.
Nixon’s method
6th rib superiorly and laterally left mid axillary and inferiorly is the L costal margin
Percussion of traube’s semilunar space
Patient supine percussion in the lowest intercostal space in the ant axillary line produces a resonant note if normal and dull in inspiration splenomegaly
Castell’s method
Vaccines should be given before splenectomy
Pneumococcal n meningitidis h. Influenza
