case report from ASH 3.57.51 PM

case report from ASH 3.57.51 PM - Case report from ASH...

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Case report from ASH Lymphadenopathy. Dr. Tariq Roshan Dr. Tariq Roshan
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History History A 60 year-old man complains of a new lump in the right groin for the past six weeks. What are the major pathophysiologic mechanisms for lymph node enlargement? Is the lymph node tender. Have you felt swollen lymph nodes in this or another area befo Do you have fever or drenching sweats or loss of more then 10
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History History Have you traveled to foreign countries? Have you had any of the following: change in bowel movements pain in the abdomen blood in the stools or black tarry stools fullness in the stomach inability to eat a full meal (early satiety)? Have you ever: Abused intravenous drugs? Shared needles with other people? Had anal receptive sexual intercourse? Had heterosexual intercourse with multiple partners? Did you receive blood or blood product transfusions prior to 1985?
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History History Have you noticed unusual bleeding, easy Have you noticed unusual bleeding, easy bruising or red spots in the skin? bruising or red spots in the skin? Have you noticed any sores on your penis Have you noticed any sores on your penis or abnormal discharge from your penis? or abnormal discharge from your penis? Do you have any pain, redness, or swelling Do you have any pain, redness, or swelling in your leg? in your leg? No I have not noticed any pain, redness, or swelling in No I have not noticed any pain, redness, or swelling in my leg. my leg. Cellulitis can cause inguinal adenopathy. Cellulitis can cause inguinal adenopathy.
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Pathophysiolgy. Pathophysiolgy. A lymph node may enlarge in response to an infection, a non-specific inflammatory reaction, or a malignant growth of its cells.
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Is the lymph node tender. Is the lymph node tender. The node is not painful Lymph nodes that become enlarged as a result of infection are usually tender to touch, whereas malignant lymph nodes do not hurt. In addition, infectious nodes can be erythematous and warm.
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Have you felt swollen lymph nodes in th Have you felt swollen lymph nodes in th Yes, I have noted other enlarged nodes, but my groin area concerns me the most. Infections most often cause localized lymphadenopathy. Disseminated lymphadenopathy is more likely due to a malignancy but can be due to HIV EBV. Malignant lymphadenopathy can also wax and wane, sometimes for months before a final diagnosis is made.
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Do you have fever or drenching sweats Do you have fever or drenching sweats No, I have not had fevers, or sweats. However, I have lost 8 pounds over the past 6 months. One or more of these symptoms is present in many patients with lymphoma. The classic “B” symptoms of lymphoma are Temperature greater than 38 0 C, Drenching night sweats Unintentional loss or 10% of body weight over 6 months.
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Have you traveled to foreign countries? Have you traveled to foreign countries?
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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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case report from ASH 3.57.51 PM - Case report from ASH...

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