Lymphadenopathy

Question 1

lympadenopathy in healthy children and young adults

Answer 1

Soft flat submandibular lymphadenopathy less than 1 cm

Healthy adults hav palpable inguinal nodes normal upto 2 cm

Question 2

Rwveal setting in which lymphadenopathy occurs

Answer 2

Medical history

Question 3

Clinical assessment

Answer 3

Medical history
Physical examination
Lab results
Biopsy

Question 4

Why is physic examination of lymph node required?

Answer 4

To find extend of lymphadenopathy(local or generalised)
Size of nodes
Its texture
Presence of nodal tenderness
Signs of infalmmation
Skun lesion
Splenomegaly

Question 5

Cervical adenopathy with tobacco use

Answer 5

Ent examinatiom

Question 6

Involvement of single anatomic area

Answer 6

Localised or regional adenopathy

Question 7

2 or more noncontiguous lymphnode areas

Answer 7

Generalised adenopathy

Question 8

Generalise lymphadenopathy involving

Answer 8

Ebv,toxoplasmosis,hiv, cmv
Sle , mixed connective tisseue disorder
Acute and chronic lymphocytic leukemia

Malignant lymphoma

Question 9

Occipital adenopathy

Answer 9

Scalp infection,

Question 10

Preauricular adenopathy

Answer 10

Conjuctival infection

Cat scratch disease

Question 11

Most frequent site of regional adenopathy

Answer 11

Neck……..
Benign mostly

Respitory infectionss oral or dental lesion.,IM

Question 12

Cheif malignant cause

Answer 12

Metastatic cancer from head neck breast lung thyroid

Question 13

Supraclavicualr Lymph nodes and scalene nodes is abnormal bcoz

Answer 13

These nodes drain regions of lungs and retroperitonal space.., may cause cancer lymphoma or infection

Question 14

Virchows node

Answer 14

Enlarged left supraclavicular node infiltered with metastatic camcer from gastrointestinal primary

Question 15

Supraclavicular nodez

Answer 15

Also may b metastates of ovary testis breast or lumg

Question 16

Nonneoplastic cause of supraclavicular adenopathy

Answer 16

Tuberculosis
Toxoplasmosis
Sarcoidosis

Question 17

Axillary adenopathy is

Answer 17

Ipsilateral upper extremity injury or infection

Malignant causes may b melanoma lymphoma or breast cancer in women

Question 18

Inguinal lympahdenopathy

Answer 18

Secondary to infections or trauma of lower extremitt
May b std like
Lymphogranuloma venereum
Syphillis
Genital gerpes
Chancroid
These nodes may also involve metastates lymphomas from primary lesions of rectum genitalia or lower extremities

Question 19

Nodes Less than 1 cm per square in area

Answer 19

Secondary to benign

nNon specific reactivee cause

Question 20

Best size limit for distinguishing malignant or granulomatous lympahdenopathy from other lymphadenopathy is

Answer 20

2 25(1.5*1.5)

Question 21

Textures of lymph nodes

Answer 21

Soft 
Firm
Rubbery
Hard
Discrete
Matted
Tender
Movable 
Fixed

Question 22

Acute leukemia

Answer 22

Rapid enlargement and pain in nodes

Question 23

Nodes involved in lymphoma

Answer 23

Large 
Discrete
Symmetric
Rubbery
Firm
Mobile
Nontender

Question 24

Nodes in metastates

Answer 24

Hard
Nontender
Nonmovable

Question 25

Splenomegaly and lymphadenopathy

Answer 25

Systemuc infections or diseases like

Im
Sle
Lymphoma
Leukemia
Sarcoidosis
Toxoplasmosis
Catscratch or
Rarely hematological disorder

Question 26

Mediastinal adenopathy

Answer 26

Im an sarcoidosis

Question 27

Unilateral Paratrachel lymph node

Answer 27

Histoplasmosis(mimic lymphoma

Question 28

Unilateral adenopathy

Answer 28

Tb and histoplasmosis

Question 29

ENlarged abdominal or retroperitonial nodes are

Answer 29

malignant

Question 30

Mesenteric lymphadenitis

Answer 30

Tuberculosis
Lymphoma or
Germ cellntumor

Question 31

hilar lymphadenopathy

Answer 31

is a bilateral enlargement of the lymph nodes of pulmonary hila.

Question 32

Mediastinal lymph nodes

Answer 32

areglandsthat are located in the part of the chest that lies between the sternum and the spinal column.

Question 33

Waldeyer’stonsillarring

Answer 33

is a ringed arrangement of lymphoid tissue in the pharynx