prominent exudate noted bilaterally, No oral ulcer or vesicles noted. Normal dentition, no odor or evidence of infection noted. Neck-No visible scars, deformities or lesions noted. The trachea is midline and freely mobile. There is bilateral cervical lymphadenopathy, nodes are 1.5cm in size, rubbery and mobile, Thyroid moves with swallowing. The neck is supple with good range of motion. Normal JVD noted Cardio JVD normal; 6cm above the right atrium, carotid upstrokes brisk, without bruits.PMI…
right testicular mass. Ultrasound also showed a retroperitoneal mass that measures 6.8 x 5.9 x 7 cm between the aorta and left kidney. The left testicle was normal. On 09/23/2016, he underwent a CT scan which showed extensive retroperitoneal lymphadenopathy with dominant left periaortic lymph nodes with a mass extending into the level of the left renal artery which was partially encased down to the aortoiliac bifurcation. The mass measured 8.3 x 7.1 cm. The mass abutted and appeared to be…
Tularemia has six major clinical syndromes classified by the portal of entry; ulceroglandular, glandular, oropharyngeal, oculoglandular, typhodial, pneumonic. Ulceroglandular tularemia, is characterized by tender lymphadenopathy, and painful swollen papule at the portal of entry on the skin. According to Tularemia: Epidemiology, Diagnosis, and Treatment, ulceroglandular tularemia is “the most common syndrome, accounting for between 42% and 75% of all cases of tularemia…
constitutional features of low grade fever and weight loss and admitted for further workup. One examination, he was tachycardiac with heart rate of 107, blood pressure 132/84, temperature 37.2 and respiratory rate of 18 with no localized and generalized lymphadenopathy. On genital examination no swelling was seen, but right testis was tender to touch and with no change in pain intensity on raising the right…
The incidence of death from cancer is decreasing, but it will always have a significant impact in nursing practice. Mortality has declined by 66% over the past 30 years, from a 5-year survival rate of less than 50% to approximately 83% today (Barbel & Peterson, 2015). The article, “Recognizing subtle signs and symptoms of pediatric cancer”, discusses the causes and risks, signs and symptoms, details of the different forms of cancer, as well as some nursing implications in regards to pediatric…
hands. According to the nurse, the condition may be some kind of eosinophilic fasciitis type of process likely a reaction to gadolinium. Her review of systems was positive for a right tonsillar pustule with surrounding erythema, and cervical lymphadenopathy on the right. According to the provider, the patient had a possible gadolinium toxicity as evidenced by increased bone pain diffusely and visual changes since infusion on 01/03/2017, cognitive dysfunction, headaches, paresthesia, and fatigue.…
Since then, this bacterial infection has been diagnosed in over 20,000 people every year (Jackson, 1993) and is identified by symptoms such as rashes, fatigue, headaches, and lymphadenopathy, a disease in which the lymph nodes swell abnormally due to an inflammatory response (Greub, 2002). Bartonella is transmitted to humans by an asymptomatic mammal, commonly a cat that has been inoculated with the bacteria by a blood-sucking vector…
The differential diagnosis that fits 5-year-old Johnny is Impetigo. Impetigo is caused by Staphylococcus aureus or Streptococcus pyogenes, which are Gram-positive bacterias that are highly contagious (Hartman-Adams, Banvard, & Juckett, 2014). According to Hartman-Adams, Banvard, & Juckett (2014), it is the most common bacterial skin infection seen in children between the ages of two and five years old. The symptoms associated with impetigo are classified as ruptured oozing sores, and…
transport lymph, a fluid containing infection-fighting white blood cells, throughout the body. Kikuchi Disease or kikuchi-Fujimoto disease (KFD) is a benign and self-limited disease that mainly affects young women. Patients present with localized lymphadenopathy, fever and leukopenia in up to half of the cases. The running theme I found in reading studies on this disease seems to be that “KD is a self-limiting disorder that does not require any specific management…… We suggest that the patients…
round and reactive to light. Extraocular muscles intact. Sclera anicteric without injection. Oropharynx without any lesions. Mucous membranes moist. Neck: Supple. No JVP. Trachea midline. Lymph Node: No cervical or supraclavicular lymphadenopathy. Lungs: Clear to auscultation bilaterally. No wheezes, rales, or rhonchi. Symmetric chest expansion. Breathing nonlabored. Heart: Regular rate and rhythm with normal S1, S2. Abdomen: Soft, nontender and nondistended. Normoactive…