Ebook Gateway to success in surgery: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Gateway to success in surgery: Part 2
Ebook Gateway to success in surgery: Part 2
Case 21Cervical LymphadenopathyMy patient Ranvir. a 30 year old male, resident of Haryana, presented with multiple swelling both side, of his neck for Ebook Gateway to success in surgery: Part 2r last 6 monthsHe noticed a single swelling in his left side of neck first graduate multiple swelling appeared both side of his neckSwelling are gradually progressive, and painless. So he did not care about It initially but gradually he has got his history of weight loss, loss of appetite for last 3 Ebook Gateway to success in surgery: Part 2 months and Fever for last 2 months The fever with swelling stay for 5-7 days and followed by a period of apyrexia.History of Abdominal pain and swellEbook Gateway to success in surgery: Part 2
ing in the lower limb (IVC obstruction)Features suggestive of TBI ike even! ng rise of temperatureHistory of Exposure [to exclude sexually TransmittedCase 21Cervical LymphadenopathyMy patient Ranvir. a 30 year old male, resident of Haryana, presented with multiple swelling both side, of his neck for Ebook Gateway to success in surgery: Part 2nt IS anaemic: pallor look, like white -coffee poorly/averagely nourished.On local Examination-There are multiple ovoid Swellings. more in the posterior triangle of neck, no swellings, moves with deglutition No dental caries, oral hygiene Waldeyer's ring appear normal.On palpatlon-The swellings are Ebook Gateway to success in surgery: Part 22-4 cm in size nontender, discreate, rubbery in consistency, smooth surface mobile free from overlying skin and underlying structure, Axillary InguinaEbook Gateway to success in surgery: Part 2
l lymph nodes not enlargedSystemic Examination•GIT- There is splenomegaly and hepatomegaly Spleen is 14 cm on its axis•Liver IS 4 cm enlarged on mid cCase 21Cervical LymphadenopathyMy patient Ranvir. a 30 year old male, resident of Haryana, presented with multiple swelling both side, of his neck for Ebook Gateway to success in surgery: Part 2 normal.So my provision diagnosis is - this is a case of Hodgkin's lymphoma but I like to put differential diagnoses for this case It may be.1Tubercular Lymphadenopathy2Secondary syphilis3Chronic pyogenic lymphadenitis4 Secondary metastatic lymph nodeWhy is you considering Hodgkin's lymphoma asyour Ebook Gateway to success in surgery: Part 2first diagnosis?Sir my patient IS a Young male, presents with slowly growing painless lymph nodal mass in the neck-especially in the posterior trianglEbook Gateway to success in surgery: Part 2
e He has been having fever for last 2 months which occurs in a periodic fashion and he has got the history weight loss, anorexin night sweats, etcOn eCase 21Cervical LymphadenopathyMy patient Ranvir. a 30 year old male, resident of Haryana, presented with multiple swelling both side, of his neck for Ebook Gateway to success in surgery: Part 2tency nontendor, mobile (rarely may be fixed occasionally the lymph nodes may be matted in late stages called pseudo matting)There IS hepatosplenomegaly also. So this is clinically a case of Hodgkin's lymphoma[Differential Diagnoses (i) tubercular lymphadenopathy•It may occur at any age (but common Ebook Gateway to success in surgery: Part 2in children).•persistent enlargement of lymph node and this most common cause of cervical lymphadenopathy in our country•Feature of tuberculosis alongEbook Gateway to success in surgery: Part 2
with -like evening rise of temperature, weight loss, anaemia, cough etcOn Examination: the enlarged lymph nodes are firm in feel and initially discreCase 21Cervical LymphadenopathyMy patient Ranvir. a 30 year old male, resident of Haryana, presented with multiple swelling both side, of his neck for Ebook Gateway to success in surgery: Part 2n SurgeryShort CasesCase 21Cervical LymphadenopathyMy patient Ranvir. a 30 year old male, resident of Haryana, presented with multiple swelling both side, of his neck forGọi ngay
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