Discuss the physical assessment of a patient who presences with the complaint of cervical lymphadenopathy. “Lymphadenopathy is characterized by enlarged lymph nodes. Lymph node enlargement is caused by an increase in size and number of its germinal centers caused by proliferation of lymphocytes and monocytes or invasion by malignant cells. Normally, lymph nodes are not palpable or are barely palpable. Enlarged lymph nodes are characterized by being palpable and often may be tender or painful to touch, though not in all situations” (McCance, & Huether, 2014). “Localized lymphadenopathy usually indicates drainage of an area associated with an inflammatory process or infection (reactive lymph nodes). Generalized lymphadenopathy is generally a result of malignant or nonmalignant disease,…
NEUROSARCODOSIS PRESENTING AS RAPIDLY PROGRESSIVE DEMENTIA: A CASE REPORT ABSTRACT: We report a case of neurosarcoidosis in a patient presenting with rapidly progressive dementia and intermittent delirium. Sarcoidosis with neurologic involvement is rare, and typically does not manifest with psychiatric or cognitive symptomatology. The most common presentation of neurosarcoidosis is facial neuropathy, followed by meningoencephalitis. This patient exhibited accelerated mental…
Introduction Decorative tattoos have become more popular throughout the decades. When someone receives a tattoo the ink is injected into either the dermis or epidermis with a needle. Through various case studies with over 30 years of receiving the tattoo, patients contracted lymphadenopathy, a disease affecting the lymph nodes [1]. Lymph nodes are found all throughout the body including: armpits, epicondyles, pelvis, and neck. Depending on the trauma the tattoo has gone through or the color…
A previously healthy 21 year old male presents himself to our clinic with a 7 day history of an extreme malaise, stiffness and tenderness in the neck and a sore throat. Upon analysis it was confirmed they were diagnosed with infectious mononucleosis, also known as glandular fever. It is commonly caused by the Epstein-Barr virus (EBV) (Hurt & Tammar, 2007). Infectious mononucleosis is a clinical syndrome that can be characterized by a multitude of symptoms. The disease is most likely to occur in…
is a 19yo male college student with a CC of acute onset of constant “gritty” or FB sensation to OU associated with 2/10 pain, erythema, lacrimation, and pruritus 2-3 days ago. There are no aggravating or relieving factors. Pt used OTC visible gtts with temporary relief to erythema only. Denies using any corrective glasses of contact lens. No crusting of lids or mucoid or purulent discharges. Reports occasional rhinorrhea with intermittent nasal congestion without sneezing. Denies fever, chills,…
self-examination: She does not perform breast self-examinations on a regular basis. 2. What body systems will you plan to focus upon during your physical examination? I will focus on the reproductive system during physical examination. Also, I will focus on the lymphatic systems and endocrine systems. In addition, I will focus on the blood circulation system and blood vessels. 3. What objective data would you need to collect during your examination? • Inspection: There is a change in breast…
It is important to differentiate GABHS infections in chil- dren. The antibiotic therapy should be started within 9 days after the onset of infection to prevent potential cardiac and renal complications. It is not possible to make a diagnosis of GABHS infection by clinical examination alone. Throat swabs are necessary to identify Streptococcus (Fig. 3.1.1). Gener- ally, a cherry red tongue and perioral pallor suggest GABHS infection. In infectious mononucleosis, the cervical lymph nodes are…
Swollen Glands Overview- The swollen gland or swollen lymph nodes are an enlargement of the lymph glands, in most cases due to local or diffuse inflammation. Groups of lymph nodes in the neck, around the collarbone, the armpit, groin. During a physical examination the doctor palpating these areas looking for any swelling. Lymph nodes are small bean-shaped curved masses of lymphatic tissue bounded by a capsule of connective tissue. Lymph glands are found in many places in the lymphatic system…
Blood-Brain Barrier The blood–brain barrier (BBB) is a highly specific permeable barrier that separates the blood from the brain extracellular fluid (BECF) in the central nervous system (CNS). The BBB is composed by brain endothelial cells, which is connected by tight junctions with high electrical resistivity . The BBB allows passage of water, gases and lipid soluble molecules by passive diffusion and selective transport of molecules such as glucose and amino acids . The blood–brain barrier…
complaints • GI complaints o No GI complaints • Sleep o No complains • Family history o None • Obstetric history o None • Sexual history o Patient is sexually active • Social history o Denies smoking, drinking, and illicit drug use Objective • General: fatigued, moderate distress, no acute respiratory and cardiac distressed, patient appears well groomed and well nourished • Skin: macular erythematous petechial rash • Head: normocephalic, atruamatic • Eyes: PERRLA EOMs intact bilaterally •…