Lymph Nodes And Spleen Flashcards

0
Q

Lymphogranuloma venereum trachoma

A

Chlamydial

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1
Q

Lymphogranuloma venerum trachoma

A

Chlamydial

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2
Q

Scrub typhus, rickettsial pox, Q fever

A

Rickettsial

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3
Q

Involvement of a single anatomic area

A

Localized or regional adenopathy

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4
Q

Involvement of three or more non contiguous lymph node areas.
Infectious mononucleosis, toxoplasmosis, AIDS, SLE, and mix connective tissue disease.

A

Generalized adenopathy

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5
Q

Frequent site of regional lymphadenopathy

A

Neck area

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6
Q

Enlargement of these is ALWAYS abnormal.

A

Suprasclavicular and scalene nodes

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7
Q

Enlargement of supraclavicular lymph node.

A

Virchow’s lymph node

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8
Q

Injury or localized infection of the ipsilateral upper extremity.

A

Axillary adenopathy

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9
Q

Secondary to infections or trauma of the lower extremities.

A

Inguinal lymphadenopathy

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10
Q

Best size limit for distinguishing malignan or ganulomatous lymphadenopathy.

A

2.25 cm

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11
Q

Histoplasmosis can cause unilateral paratracheal lymph node involvement that mimics lymphoma.

A

Mediastinal and hilar lymphadenopathy

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12
Q

Contain lymphomas or germ cell tumor.

A

Enlarged intraabdominal or retroperitoeneal nodes

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13
Q

Accurate for cervical lymph nodes.

A

Ct and MRI

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14
Q

Reserved for thyroid nodules and for confirmation or relapse in patient.

A

Fine needle aspiration

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15
Q

2 algorithms for subjecting patient for biopsy.

A

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

16
Q

Treat lymphadenopathy

A

Glucocorticoid

17
Q

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.

A

Bimanual palpation

18
Q

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.

A

Nixon’s method

19
Q

6th rib superiorly and laterally left mid axillary and inferiorly is the L costal margin

A

Percussion of traube’s semilunar space

20
Q

Patient supine percussion in the lowest intercostal space in the ant axillary line produces a resonant note if normal and dull in inspiration splenomegaly

A

Castell’s method

21
Q

Vaccines should be given before splenectomy

A

Pneumococcal n meningitidis h. Influenza