Lymph Node Enlargement (Lymphadenopathy): Medical History

Medical history (history of illness) represents an important component in the diagnosis of lymph node enlargement (lymphadenopathy). Family history Are there any individuals in your family with immunodeficiencies? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). How long has the lymph node enlargement been present? Does it affect one … Lymph Node Enlargement (Lymphadenopathy): Medical History

Lymph Node Enlargement (Lymphadenopathy): Or something else? Differential Diagnosis

Respiratory System (J00-J99) Upper respiratory tract infections (eg, tonsillitis/tonsillitis). Pharyngitis (pharyngitis) Blood, blood-forming organs – immune system (D50-D90). Autoimmunologic lymphoproliferative syndrome. Hemophagocytic lymphohistiocytosis – rare disorder characterized by high fever, spleen, liver and lymph node enlargement. Immunodeficiencies, unspecified Rosai-Dorfman syndrome (synonym: sinus histiocytosis with massive lymphadenopathy; English : Rosai-Dorfman disease) – rare disorder belonging to … Lymph Node Enlargement (Lymphadenopathy): Or something else? Differential Diagnosis

Lymph Node Enlargement (Lymphadenopathy): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin and mucous membranes [rashes?] Inspection and palpation (palpation) of lymph node stations* [lymph node enlargement; changes in draining regions such as redness, cutaneous lesions, or … Lymph Node Enlargement (Lymphadenopathy): Examination

Lymph Node Enlargement (Lymphadenopathy): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Serological tests – if bacterial, viral or parasitic diseases are suspected. Cervical LK swelling: common … Lymph Node Enlargement (Lymphadenopathy): Test and Diagnosis

Lymph Node Enlargement (Lymphadenopathy): Symptoms, Complaints, Signs

Lymphadenopathy (lymph node enlargement) may be localized, regional, or generalized.Lymph nodes usually cannot be palpated in the tissues in a demarcated manner!In this case, the lymph node can be described as follows: Soft Sliding Druckdolente (pressure painful) Derb/hard Caked with the environment Environment reddened Other clues In children, normal cervical lymph nodes are often palpable. … Lymph Node Enlargement (Lymphadenopathy): Symptoms, Complaints, Signs

Lymph Node Enlargement (Lymphadenopathy): Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Abdominal ultrasonography (ultrasound examination of the abdominal organs) – as a standard diagnostic tool in cases of unclear lymph node swelling. X-ray of the thorax (X-ray thorax / chest), in two planes, … Lymph Node Enlargement (Lymphadenopathy): Diagnostic Tests

Lymph Node Enlargement (Lymphadenopathy): Surgery

In patients with localized nodes and a benign clinical picture, an observation period of three to four weeks is advisable. Generalized adenopathy should always prompt further clinical investigation. Lymph nodes are considered abnormal: Adult patients: > 1 cm (inguinal: > 1.5 cm). Children: lymph node enlargements up to 2 cm often do not require further … Lymph Node Enlargement (Lymphadenopathy): Surgery