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5 Cards in this Set
- Front
- Back
The vast majority of lymphadenopathy is usually what in kids?
Which lymph nodes are commonly enlarged? Which one should always be considered abnormal? Lymphadenopathy refers to what changes in lymph nodes? |
clinically obvious and benign - hx points toward cause, exam confirms
cervical, submaxillary, axillary, inguinal common; supraclavicular abnormal changes in size, consistency or number |
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What % of patients will have localized changes? % with general changes?
Your PE should begin with what? Weight greater than ____ should be cause for concern. |
75% local, 25% general
vital signs 10% |
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Scrofula is due to what bacteria?
Strawberry tongue, scleral inflammation, high fever for >5 days, rash on trunk, large anterior cervical lymph node: 11 y/o, tender L axilla, hx of shaving armpits; fever today: DOC for MRSA? |
usually M. bovis - from unpasteurized milk
Kawasaki's Strep, Staph infection - watch for MRSA Bactrim, Vancomycin, Clindamycion |
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6 y/o, fever, swollen axillary lymph nodes, healing sore on left hand, questionable liver tenderness:
Drugs to treat? What other organs are affected? |
cat scratch fever (Bartonella henselae)
Azi, Bactrim, Rif, Cipro (over 17 y/o) Visceral (liver, spleen), eye (macular star), CNS - encephalopathy, myelitis, radiculitis, ataxia |
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Supraclavicular node present, chronic fatigue, testicular mass, epistaxis, slight hypcercalcemia, anterior mediastinal mass on CXR:
Painless testicular mass with no hx of trauma/inflammation indicates what test? |
lymphoma
CXR |