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2234906
Lymphadenopathy
Description
Mind Map on Lymphadenopathy, created by spencer.brogan on 10/03/2015.
Mind Map by
spencer.brogan
, updated more than 1 year ago
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Created by
spencer.brogan
about 9 years ago
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Resource summary
Lymphadenopathy
abnormality in the number, size or consistency of lymph nodes.
Causes
Infection (viral, bacterial, fungl, parasitic)
Viral
HIV
URTI
Infectious Mononucleosis
Rubella, varicella, measles
Hep, A/B
Dengue fever
Adenovirus
Human Herpes virus - 6
Bacterial
Septicaemia
Typhoid fever
TB
Syphilis
Lyme disease
Protozoal
toxoplasmosis
Chagas disease
Sleeping sickness (African trypanosomiasis)
Fungal
Coccidioidomycosis
Neoplastic
Acute leukaemia
Lymphoma
Hodkins/non-hodgkins
Neuroblastoma
Hystocytoses
Inflammatory/ Autoimmune
Heamatological
History:
Infection
Fever
Prior infection (cough, sputem, SOB, pain, redness, discharge, bowels, CNS, headaches, neck stiffness, hotophobia, seazures etc.)
Examination
Infection
Temperature
Haemodynamics (BP, HR, RR, Urine Output)
Conciousness (AVPU, GCS)
Focused examine for site of origin (chest, abdo etc.)
Hepatomegly/splenomegaly for malignancy/infection
Size/No. / site of lymphnodes
Supraclavicular nodes = malignancy
Erythema, warmth, fluctuance = lympadenitis
Firm, non tender, matted together = malignancy
Investigations
FBC (incl. blood film, and ESR, plasma viscosity, CRP)
LFT's
Swabs
Depending on Hx
Viral titre
Epstein-Barr virus
HIV
Hepatitis
Blood cultures
Antibodies screen (SLE ant-DSdna ANA, RA ACCP)
CXR (sarcoidosis, TB, Malignancy)
CT, MRI
Fine needle Aspiration
Differential Diagnosis
Subcutaneous lesion (Lipoma, Abscess)
Hernia
Skin Lesion (Sabaceous cyst)
Neck (thyroid tumour, brachial cleft cyst, Cystic hygromas, Salivary Glands, Thyroglossal duct cysts(often midline))
Management
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