Approach to a child with cervical lyymphadenopathy

Approach to a child with cervical lyymphadenopathy -...

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Approach to A child with  cervical lymphadenopathy Professor Pushpa Raj Sharma Professor Pushpa Raj Sharma Department of Child Health Department of Child Health Institute of Medicine Institute of Medicine
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Location of enlarged nodes The horizontal nodes are positioned at the junction of the head with the neck  The vertical nodes drain the deep structures of the head and neck 
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Approach to a child with  lymphadenopathy Infective Tender (not in  tuberculosis) Acute onset Evidence of  infection in  drainage area Soft/fluctuant Local Non-infective Non tender Chronic onset Evidence of  systemic  manifestation Firm/hard Generalized
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Common infectious causes: Bacterial Bacterial Group A streptococcus Mycobacteria: typical and atypical Anaerobic bacteria Diphtheria Brucellosis Actinomycetes Gram –ve enterios
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Common infectious causes: Viral Viral Epstein-Barr virus Herpes simplex Measles Mumps Coxsackie Adenovirus HIV Rubella
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Common infectious causes: Fungal / *Parasitic Fungal / *Parasitic Aspergillosis Candida Cryptococcus Histoplasmosis Coccidioidomycosis Sporotrichosis Blastomycosis Toxoplasmosis*
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Malignancy Malignancy Hodgkin’s/Non-Hodgkin’s Lymphoma
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Approach to a child with cervical lyymphadenopathy -...

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