A 28 year old male presents with fatigue/loss of appetite/weakness. He has also noticed several pound weight loss
of the past few months without intentionally dieting. His medical history is unremarkable, he doesn't take any medications, he has no toxic habits, works full time, and lives by himself.
Vitals: Temp 98.4
General: He is no acute distress, calm and appropriate.
CV: RRR, no murmurs/rubs/gallops
Abdomen: S/NT/ND, ++hepatosplenomegaly
HEENT: Sclera slightly pale, no jaundice, he has palpable cervical/pre-post auricular lymph nodes
Lymph: No edema, palpable axillary and inguinal lymph nodes bilaterally
Discussion: What other history would you like to know about this young man?
What is your differential diagnosis for this otherwise healthy man with diffuse lyphadenopathy?
What testing/lab work would you order?
How would you counsel him right now when he is in your office? Would you tell him what was on your mind? Would you tell him why you were ordering lab work? How abstract or definitive would you be?
Recently Asked Questions
- why does hypokalemia and hypophosphatemia occur in patients suffering from diabetic ketone acidosis? I'm new to course hero so I am hoping this is how to
- How do the more experienced nurses interact with other members of the health care team? Identify and list several management skills that help nurses accomplish
- What is the value in identifying clinical or practice experts to help achieve learning objectives?