Lymphadenopathy

CC (chief compliant): JID is a 27 year-old African American male who presents for a history and physical examination. He presents with complaints of nasal drainage and a nonproductive cough. He states “I have had a runny nose and cough for the last past 2 weeks”. HPI: Onset: Runny nose and non productive cough that began 2 weeks. Location: Nose: nasal drainage chest: nonproductive cough Duration: Nasal drainage continuous throughout the day. Coughing throughout the day and increases…

James Petrovsky was at his usual state until 3/12/2017 evening, he refused to walk or stand. When staff assisted him to stand, he dropped to the floor. The nursing assessment was completed, he was afebrile and no distress was noted. On the morning of 3/13/2017, still he refused to walk or stand and nurse was notified. Up on nursing assessment, he had shortness of breath with wheezing and his SPO2 was around 84% on room air. He was sent to Vista East ER on 3/13/2017 by 911 due to respiratory…

Sarcoidosis was first mentioned by J. Hurtchinson in early 1869, and was thought to be a dermatological condition based on a patient he had seen. During that summer, he visted Christiania (now Oslo, Norway), and viewed a compilation of pathological drawings, including one of a healthy, Swedish sailor, a patient of C.W. Boeck. The sailor had skin lesions comparable to those of Hutchinson's original patient. However, unlike Hutchinson's original patient, this one did not suffer from gout. In…

Andrea, a 43-year-old G4P4 premenopausal woman, returns to your office after the results of her PAP smear indicate a concern. Identifying data: Ms. A is a 43 y/o Caucasian female. Referral: None Source: Patient Reliability: Seems reliable Allergies: NKA Subjective CC: Follow up Pap smear result HPI: Andrea, a 43-year-old G4P4 premenopausal woman, returns to your office after the results of her PAP smear indicate a concern, the test was done during the routine…

comfortably in the exam room. He is alert and oriented. He is very pleasant. HEENT Pupils equal, round and react to light. Extraocular eye muscles intact. No conjunctival erythema. Neck Supple. Full range of motion. No tenderness. No lymphadenopathy Heart Regular rate and rhythm. Normal S1, S2. No murmur, rubs, or…

pleasant to deal with. HEENT exam reveals no conjunctivitis. No mouth ulcers. There is no facial rash. Neck has normal range of motion though he is limited to some extent by pain in extremes of lateral rotation and extension. There is no lymphadenopathy in the neck and no bruits in his carotids. His anterior chest is free of rash. His heart reveals a regular rhythm with a split first heart sound. There is no murmur appreciated. His lungs are clear to auscultation without wheezes or…

Chlamydia Chlamydia is the most commonly reported bacterial sexually transmitted disease (STD) in the United States and a leading cause of infertility in women. It is most prevalent in sexually active younger population less than age twenty-four. In 2015, a total of 1,526,658 chlamydial infections were reported to Centers for Disease Control and Prevention (CDC) in fifty states and the District of Columbia. This case count corresponds to a rate of 478.8 cases per 100,000 population (CDC, 2016).…

of the tissues. The swelling can be confined to alveolar bone, or be present in the soft tissues of the mucobuccal fold, or have spread into the fascia planes causing a cellulitis. The patient will often experience cervical and submandibular lymphadenopathy along with fever and malaise. Radiographic changes can vary from no change to widening of the PDL or to signs of periapical destruction in the form of…

recommended for a quick recovery. (“Mononucleosis”) 10. Other sequelae associated with infectious mononucleosis according to the disease database are: Paul-Bunnell test positive, atypical lymphocytes, splenomegaly, lymphocytosis, pericarditis, lymphadenopathy, pyrexia of unknown origin, tonsillitis, immunoglobulin levels raised (plasma or serum), coombs positive, direct, VDRL positive, proteinuria, maculopapular rash, hepatocellular, jaundice, cold agglutinins, thrombocytopenia, and myocarditis.…

effects that have Hematologic side effects such as myelosuppression; suppression of blood cells and platelets in the bone marrow. Methotrexate suppresses haematopoiesis, which can cause anaemia, aplastic anaemia, thrombocytopenia, leucopoenia, lymphadenopathy leukopenia, and neutropenia. Immunosuppression effects such as infections, boils and acne and loss of hair are also adverse reactions to the drug. Renal failure, severe skin reactions and photosensitivity have been reactions associated with…