lymphadenopathy

Question 1

symptom duration of acute, subacute and chronic

Answer 1

symptomduration:
* acute: <2 weeks
* subacute: 2-6 weeks
* chronic: >6 weeks

Question 2

medical history includes

Answer 2

symptomduration:
* acute: <2 weeks
* subacute: 2-6 weeks
* chronic: >6 weeks
* associated symptoms?
* animal exposure?
* insect bite?
* travel?
* medications?
* immunization status

Question 3

Physical examination

Answer 3

• size ( >1 cm (inguinal >1,5 cm)
• localization (only one region OR
  generalized - more than one noncontiguous region)
• consistency (Fluctuance? Hard?)
• fixation
• tenderness

Question 4

cervical lymph nodes regions

Answer 4

occipital
posterior auricular
preauricular
submental, submandibular
cervicalis

Question 5

causes of occipital LN

Answer 5

Scalp infections, insect bites,
seborrhea, HHV6,

Question 6

causes of posterior auricular LN

Answer 6

Rubella, HHV6-7

Question 7

Preauricular LN causes

Answer 7

Eye or conjunctival inf.

Question 8

Submental, submandibular LN causes

Answer 8

Tongue, gum, buccal and
dental inf

Question 9

swollen Cervical LN
what is more common viral or bacterial

Answer 9

viral

Question 10

cervicalis LN caues

Answer 10

Viral upper respiratory inf.,
pharyngitis, oral cavity inf.,
adenitis, tbc, EBV, CMV, cat
scratch disease

Less common: toxoplasmosis

Question 11

Acut unilateral cervical infection is most commonly ?
viral or bacterial?
how many %?
common and less common infections

Answer 11

(>80% bacterial)
Common S. aureus, S. pyogenes, anaerobes

Less common Tularaemia, GBS

Question 12

Acut bilateral cervical LN common viruses

Answer 12

Adenovirus, enterovirus,
influenza, S. pyogenes, EBV,
CMV, HSV

Question 13

Acut bilateral cervical LN less common viruses

Answer 13

HHV6,
Parvovírus-B19 (aplastic anemia)

Question 14

Chronic unilateral cervical LN common causes

Answer 14

B. henselae,
Nontuberculous mycobacteria

Question 15

Chronic unilateral less common causes

Answer 15

T. gondii, Actinomycosis

Question 16

Chronic bilateral cervical LN common causes

Answer 16

EBV, CMV

Question 17

Chronic bilateral cervical LN less common causes

Answer 17

TBC,
T. gondii,
T. pallidum,
Brucellosis,
HIV

Question 18

Supraclavicular has —- risk of malignancy in children

Answer 18

**high risk **of malignancy (up to 75 percent) in children

Question 19

supraclavicular malignancies in children

Answer 19

• leukemia
• lymphoma
• histiocytosis
• neuroblastoma
• germ cell tumors

Question 20

axillary LN common causes

Answer 20

Cat scratch disease,
skin or soft tissue
infections

Question 21

axillary LN less common causes

Answer 21

Brucellosis,
Yersinia,
Toxoplasmosis

Question 22

Generalized infectious viruses

Answer 22

Question 23

Generalized - infectious funguses

Answer 23

Question 24

generalized infectious bacterias

Answer 24

Question 25

generalized infectious spirochetal

Answer 25

Question 26

generalized infectious parasite

Answer 26

Question 27

generalized non infectious primary neoplasms

Answer 27

hodgkin - grows very slowly -prognosis : 90% non-hodgkin ( 50% is burkit, if you cut burkit LN : you see some kinda fluid but not fluid) -prognosis >80%

Question 28

generalized non infectious metastatic neoplasms

Answer 28

Question 29

do we do Fine needle aspiration?

Answer 29

NOOOOOOOO

Question 30

do we do Fine needle aspiration?

Answer 30

NOOOOOOOO

Question 31

WHY SHOULD WE AVOID gLUCOCORTICOID??

Answer 31

to exclude ALL as it's very sensitive to steroid ; it can interfere with the diagnosis

Question 32

generalized non-infectious immunologic disorders

Answer 32

Question 33

generalized non-infectious metabolic disorders

Answer 33

Question 34

generalized non-infectious disorders due to drugs

Answer 34

Question 35

generalized non-infectious miscellaneous disorders

Answer 35

Question 36

do we do Fine needle aspiration?

Answer 36

NOOOOOOOO

Question 37

do we do Fine needle aspiration?

Answer 37

NOOOOOOOO

Question 38

do we do Fine needle aspiration?

Answer 38

NOOOOOOOO