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! colspan="3" rowspan="4" |Diseases
! colspan="3" rowspan="4" |Diseases
| colspan="6" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations'''
| colspan="6" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Clinical manifestations'''
! colspan="7" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para-clinical findings
! colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para-clinical findings
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pathogonomic finding
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pathogonomic finding
|-
|-
| colspan="6" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Symptoms'''
| colspan="6" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |'''Symptoms'''
|-
|-
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Images
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Images
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Biopsy
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Biopsy
Histopathology
Histopathology
|-  
|-  
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lymphadenopathy
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lymphadenopathy
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Weight loss
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Night Sweats
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Rash
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Rash
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Weight loss
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hepatosplenomegaly
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other symptoms
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other symptoms
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab 1
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab 1
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab 2
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab 3
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging 1
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging 1
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging 2
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging 3
|-
|-
| colspan="3" |Non-Hodgkins lymphoma
| colspan="3" |Non-Hodgkins lymphoma
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* painless  
* painless  
* localized or generalized
* localized or generalized
| style="background: #F5F5F5; padding: 5px;" |
* Skin Rash
* Itchy skin
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" | +
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Presents with "B" symptoms
| style="background: #F5F5F5; padding: 5px;" |
 
| style="background: #F5F5F5; padding: 5px;" |
* Constant [[Fatigue (physical)|fatigue]]
| style="background: #F5F5F5; padding: 5px;" |
* [[Shortness of breath]] and Cough
| style="background: #F5F5F5; padding: 5px;" |
* [[Abdominal pain]] or swelling
* [[Constipation]]
* [[Nausea]] and[[vomiting]].
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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* painless
* painless
* localized
* localized
|Bilateral,symmetrical mucocutaneous rash in secondary syphilis.
| +
| +
|<nowiki>-</nowiki>
| -
| -
|<nowiki>-</nowiki>
| +
|Primary syphilis:
|Primary syphilis:
* Chancer
* Chancer
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Tertiary syphilis
Tertiary syphilis
* Gumma
* Gumma
* Organ system involvemet
* Organ system involvement
|
|
|
|
|
|
|
* Darkfield microscopy to detect ''[[T. pallidum]].''
* Nontreponemal tests (e.g., [[VDRL]]<nowiki/>and [[RPR]] )
* Treponemal tests (e.g. [[FTA-ABS]], the TP-PA assay
|
|
|
|
|Painless clean base chancre.
|-
|-
|Brucellosis
|Brucellosis
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Painful  
* Painful  
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* Abdominal pain
* hepatosplenomegaly
* arthritis
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[Brucella|''Brucella'']] is most commonly isolated from blood cultures
* positive titer of anti-[[Brucella|b''rucella'']] [[antibodies]] on serological testing
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |[[Night sweats]], often with characteristic smell, likened to wet hay
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
|-
|-
| rowspan="4" |Viral
| rowspan="4" |Viral
|infectious mononucleosis
|infectious mononucleosis
|
|
* painful
|<nowiki>+</nowiki>
|<nowiki>-</nowiki>
|<nowiki>-</nowiki>
|<nowiki>+</nowiki>
|
|
|
* low-grade [[fever]]<nowiki/>without [[chills]]
|
* [[sore throat]],
|
* white patches on [[tonsils]] and back of the throat,
|
* [[muscle weakness]]
|
* [[fatigue]]
|
* [[petechial hemorrhage]]
|
|
|
|
|
|
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|CMV
|CMV
|
|
|
|<nowiki>+</nowiki>
|
|<nowiki>-</nowiki>
|
|<nowiki>-</nowiki>
|
|<nowiki>+</nowiki>
|
|
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|
|
|
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|HIV
|HIV
|
|
|
* Painful or painless
|
|<nowiki>-</nowiki>
|
|<nowiki>+</nowiki>
|
|<nowiki>-</nowiki>
|
|<nowiki>-</nowiki>
|
|
|
|
|
|
|
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|Cat scratch disease
|Cat scratch disease
|
|
|
|<nowiki>+</nowiki>
|
|<nowiki>-</nowiki>
|
|<nowiki>-</nowiki>
|
|<nowiki>+</nowiki>
|
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|Tuberculosis
|Tuberculosis
|
|
* Painful
|<nowiki>+</nowiki>
|<nowiki>+</nowiki>
|<nowiki>+</nowiki>
|<nowiki>+</nowiki>
|
|
* Prior history of residence in an endemic area.
* Chronic [[cough]], [[weight loss]], [[hemoptysis]]
|
|
* [[PCR]] of [[CSF]] for [[tuberculosis]]
* Mycobacterial culture of CSF
* Brain biopsy for [[acid-fast bacilli]] staining
* Culture and acid stain positive for [[acid-fast bacilli]]
* CXR shows cavitations.
|
|
|
|
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|Gohn's focus
|
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|
|
|
|
|
|
|-
|-
|Parasite
|Parasite
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|
|
|
|
|
|<nowiki>-</nowiki>
|
|<nowiki>-</nowiki>
|
|
|
|
|
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! colspan="3" |Diseases
! colspan="3" |Diseases
!Lymphadenopathy
!Lymphadenopathy
! colspan="1" rowspan="1" |Fever
!Weight loss
!Night sweats
! colspan="1" rowspan="1" |Rash
! colspan="1" rowspan="1" |Rash
!Fever
!Weight loss
! colspan="1" rowspan="1" |Physical exam 2
!Other symptoms
!Other symptoms
!Lab 1
!Lab 1
!Lab 2
!Lab 3
!Imaging 1
!Imaging 1
!Imaging 2
!Imaging 3
!Biopsy
!Biopsy
Histopathology
Histopathology
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| rowspan="3" |'''AUTOIMMUNE'''
| rowspan="3" |'''AUTOIMMUNE'''
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Systemic lupus erythematosus  
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Systemic lupus erythematosus  
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |painless
| style="background: #F5F5F5; padding: 5px;" |[[Malar rash]] and [[photosensitivity]]
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* [[ESR]]
* [[CRP]]<nowiki/>elevated
* [[ANA]] positive
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |[[Malar rash]] and [[photosensitivity]]
|-
|-
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Sjögren's syndrome
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Sjögren's syndrome
| style="background: #F5F5F5; padding: 5px;" |Painless
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |[[Xerosis]], scaly skin, annular [[erythema]]
* [[Xerosis]]
| style="background: #F5F5F5; padding: 5px;" |
* Scaly skin
| style="background: #F5F5F5; padding: 5px;" |
* Annular [[erythema]]
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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|-
|-
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Sarcoidosis
| colspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Sarcoidosis
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |painless
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |-
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |

Revision as of 20:51, 20 December 2018


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2]

Differential NHL

Diseases Clinical manifestations Para-clinical findings Pathogonomic finding
Symptoms
Lab Findings Images Biopsy

Histopathology

Lymphadenopathy Fever Weight loss Night Sweats Rash Other symptoms Lab 1 Imaging 1
Non-Hodgkins lymphoma
  • painless
  • localized or generalized
+ + + +
  • Presents with "B" symptoms
INFECTIONS Bacteria Syphilis
  • painless
  • localized
+ - - + Primary syphilis:
  • Chancer

Secondary syphilis:

Tertiary syphilis

  • Gumma
  • Organ system involvement
  • Nontreponemal tests (e.g., VDRLand RPR )
  • Treponemal tests (e.g. FTA-ABS, the TP-PA assay
Painless clean base chancre.
Brucellosis
  • Painful
+ - - +
  • Abdominal pain
  • hepatosplenomegaly
  • arthritis
  • Brucella is most commonly isolated from blood cultures
Night sweats, often with characteristic smell, likened to wet hay
Viral infectious mononucleosis
  • painful
+ - - +
CMV + - - +
HIV
  • Painful or painless
- + - -
Cat scratch disease + - - +
Mycobacteria Tuberculosis
  • Painful
+ + + + Gohn's focus
Parasite Toxoplasmosis - -
Diseases Lymphadenopathy Fever Weight loss Night sweats Rash Other symptoms Lab 1 Imaging 1 Biopsy

Histopathology

Pathogonomical

findings

AUTOIMMUNE Systemic lupus erythematosus painless - - - + Malar rash and photosensitivity
Sjögren's syndrome Painless - - - + Keratoconjunctivitis sicca
Sarcoidosis painless - - -

References