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Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

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Page 1: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

Clinical assessment of Lymph node

1- History

2-Character of nodal enlargement

3-Associated symptoms

4-Physical Examination

5-Lab investigation

Page 2: 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

Page 3: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

Bacterial infection cause lymphodenopathy

Tonsillitis ( Cervical lymph-node )

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

Tuberculosis ( human or bovine)

Brucellosis

Atypical mycobacterial infections

Page 4: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

Chlamydia infection cause lymphodenopathy

1- Cat-scratch fever

2- Lymphogranuloma venereum

Page 5: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

Viral infection cause lymphodenopathy

1- Epstein Barr virus

2-Cytomegalovirus

3- Infectious hepatitis

4- Rubella

5-Meales

6- HIV

Page 6: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

Fungal infection cause lymphodenopathy

Histoplasmosis

Toxoplasmosis

Protozoen infection cause lymphodenopathy

Page 7: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

Immunological cause lymphodenopathy

1- SLE

2- Rheumatoid arthritis

3- Sarcoidosis

4-Thyrotoxicosis

Page 8: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

پاتي نومشخصاتلنفاد

ادنوپاتی محلادنوپاتیتعداد

قوامغدهلنفاوی مدتآن

حجمغدهلنفاوی بهاطراف چسبندگی

شکلندول التهاب عالئم و درد

Page 9: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 10: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 11: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 12: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
http://www.nexusmagazine.com/Images/lympho09sm.jpg
Page 13: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 14: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
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Page 16: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 17: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 18: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 19: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 20: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

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

Page 21: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 22: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

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.

Page 23: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 24: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 25: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation
Page 26: Clinical assessment of Lymph node 1- History 2-Character of nodal enlargement 3-Associated symptoms 4-Physical Examination 5-Lab investigation

طحال طحال اعمال اعمال

1-Filtration2-Immunologic3-Reservoir4-hematopoietic


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