clinical assessment of lymph node 1- history 2-character of nodal enlargement 3-associated symptoms...

Clinical assessment of Lymph node

1- History

2-Character of nodal enlargement

3-Associated symptoms

4-Physical Examination

5-Lab investigation

Cause of Lymphodenopathy

1- Infection Bacterial Chlamydia Viral Protozoan Fungal

2-Immunological

3-Malignant

Bacterial infection cause lymphodenopathy

Tonsillitis ( Cervical lymph-node )

Syphilis ( inguinal in primary ), ( general in scondary)

Tuberculosis ( human or bovine)

Brucellosis

Atypical mycobacterial infections

Chlamydia infection cause lymphodenopathy

1- Cat-scratch fever

2- Lymphogranuloma venereum

Viral infection cause lymphodenopathy

1- Epstein Barr virus

2-Cytomegalovirus

3- Infectious hepatitis

4- Rubella

5-Meales

6- HIV

Fungal infection cause lymphodenopathy

Histoplasmosis

Toxoplasmosis

Protozoen infection cause lymphodenopathy

Immunological cause lymphodenopathy

1- SLE

2- Rheumatoid arthritis

3- Sarcoidosis

4-Thyrotoxicosis

پاتي نومشخصاتلنفاد

ادنوپاتی محلادنوپاتیتعداد

قوامغدهلنفاوی مدتآن

حجمغدهلنفاوی بهاطراف چسبندگی

شکلندول التهاب عالئم و درد

Causes of SplenomagalyCauses of Splenomagaly

- Infection : Viral : EBV ,CMV , hapatitis

Bacterial : SBE , Milliary T.B. Toxo. ……………

……………………………………………………………………………………………………… Salmpnela , Brucella Protozoal: Malaria , Toxo. Leishmaniasis

- Hemolytic : Congenital Aquired

- Myeloprolifrative- Lymphoprolifrative- Autoimmune disorders- Storage disorders- Congestion- Metastases

Criteria for B symptomsCriteria for B symptoms :

B symptoms generally correlate with advanced stage and bulk disease. Specific B symptoms are defined as follows:

   1- Unexplained weight loss of more than 10 percent of body weight during the six months before initial staging investigation

   2-  Unexplained persistent or recurrent fever with temperatures above 38؛C during the previous month

3- Recurrent drenching night sweats during the previous month.

طحال طحال اعمال اعمال

1-Filtration2-Immunologic3-Reservoir4-hematopoietic