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18 Cards in this Set
- Front
- Back
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what usually indicates a viral infection?
what infection may have increased atypcal lymphocytes and an absolute lymph >4000 |
lymphocytosis
EBV (mono) |
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what wbc values indicate bacterial infection?
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leukocytosis especially with a left shift
Leukocytosis = >11,000 Neutrophil=>8000 |
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what are other possible indications of bacterial infection based on WBC values?
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leukopenia and neutropenia
left shift in absend of leukocytosis |
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what is a left shift?
how do you calculate absolute neutrophil count? |
an increase in number of immature bands
ANC is neutrophils+bands and as a percentage of Total WBC |
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what is a normal finding of lymph nodes in young adults and kids?
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palpable, soft, flat submandibular nodes
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what are indications for a patient 9-25 to get a consult with hematologist?
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*lymph node greater than 2
*firm and nontender *abnormal CXR *B symptoms *progressive lymph node enlargement *enlarged lymph for 4-6 weeks |
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what are indications to consult with >25
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*lymph greater than 1.5 cm firm and nontender
*>40 yrs progressive lymph node enlargement *B symtpoms *enlargemetn for 4-6 weeks |
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when a lymph node appears at these two locations it is usually malignant?
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1. supraclavicular
2. intrabdominal or retroperitoneal |
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what do most neck nodes indicate?
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benign adenopathey
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what are some benign causes of lymph node enlargement in neck?
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URI, oral and dental infection, MONO
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what are some malignant causes of neck nodes?
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*metastatic cancer from head, neck, breast and lung
*lymphoma |
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what are malignant causes of supraclavicular nodes (especially on left)?
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*lymphoma
*metastatic cancer from lung, breast or GI tract, testis/ovary |
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what are benign causes of axillary nodes?
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injury, localized infection of IPSILATERAL upper extremity
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what are some malignant causes of axillar node?
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*metastatic cancer,
*lymphoma *melanoma |
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what is impt to note about your patient in hx?
what are impt assoc symptoms to identify?/ |
AGE
B sympoms such as Night sweat, fatigue, unexplaine weigh tlosss |
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what are some good hx questions for lymphoma?
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personal or fam hx of lymphoma or other hematologic malignancy
any hx of organ transplant or HIV |
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what should be noted about node on PE?
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TEXTURE and TENDERNESS
also location and size acute sign of lymphadenitis mobility(fixed bad) splenomegaly |
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what can a preauricular lymph node indicate?
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NH lymphoma affecting waldeye ring
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