LYMPHADENOPATHY LECTURE Flashcards
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What is the required size size for a short axis enlargement in lymphadenopathy?
> 10mm
What is the difference between a localised, regional and a generalised lymphadenomegaly?Enlargement of which organ accomapnying any enlarged LN could be considered a generalised lymphadenopathy?
Localised- One lymph node/one LN regionRegional- Two or more contiguous regionGeneralised- Two or more non-contiguous regionsSpleen
List causes of lymphadenopathy.
In situ proliferation of leukocytes (mostly lymphocytes, but also histiocytes and rarely, dendritic cells)
- Influx of lymphocytes from blood and lymph
- Infiltration by neoplastic cells
- Accumulation of abnormal substances of foreign or endogenous origin, usually phagocytosed by histiocytes
- Necrosis
- Suppuration
Can you treat lymph node enlargement of unknown origin?Should you always diagnose lymph node enlargement of unknown origin?
noyes
What are the ‘B’ symptoms for lymphadenopathy suspicious of malignancy? (HL)
FeverDrenching night sweatUnexplained weight loss
What is pain in LN after drinking alcohol classical for?
Hodgkin’s lymphoma
What are some worrying features of enlarged LNs?
Fixedforming aggregatespainlessrock hardvery large
What is dermatopathic lymphadenopathy?
LN reaction to any cutaneous changes in the draining area may be disproportional to intensity of skin changes
What disease should crescentic histiocytes immediately indicate?
Kikuchi lymphadenitis
What test is used to diagnose infectious mononucleosis?
Monospot test
