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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=" | ! 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''' | ||
|- | |- | ||
! | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings | ||
! | ! 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;" |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;" |Imaging 1 | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging 1 | ||
|- | |- | ||
| 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;" |+ | | 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 | |||
* Constant [[Fatigue (physical)|fatigue]] | |||
* [[Shortness of breath]] and Cough | |||
* [[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;" | | ||
Line 58: | Line 55: | ||
* painless | * painless | ||
* localized | * localized | ||
| + | | + | ||
|<nowiki>-</nowiki> | |||
| - | | - | ||
| | | + | ||
|Primary syphilis: | |Primary syphilis: | ||
* Chancer | * Chancer | ||
Line 70: | Line 67: | ||
Tertiary syphilis | Tertiary syphilis | ||
* Gumma | * Gumma | ||
* Organ system | * 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 | ||
|- | |- | ||
| 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]] | |||
| | | | ||
| | | | ||
Line 116: | Line 118: | ||
|CMV | |CMV | ||
| | | | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | | | ||
| | | | ||
Line 132: | Line 130: | ||
|HIV | |HIV | ||
| | | | ||
* Painful or painless | |||
|<nowiki>-</nowiki> | |||
|<nowiki>+</nowiki> | |||
|<nowiki>-</nowiki> | |||
| | |<nowiki>-</nowiki> | ||
| | |||
| | |||
| | |||
| | | | ||
| | | | ||
Line 148: | Line 143: | ||
|Cat scratch disease | |Cat scratch disease | ||
| | | | ||
| | |<nowiki>+</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>+</nowiki> | ||
| | | | ||
| | | | ||
Line 165: | Line 156: | ||
|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. | |||
| | | | ||
| | | | ||
| | |Gohn's focus | ||
|- | |- | ||
|Parasite | |Parasite | ||
Line 183: | Line 178: | ||
| | | | ||
| | | | ||
| | |<nowiki>-</nowiki> | ||
| | |<nowiki>-</nowiki> | ||
| | | | ||
| | | | ||
Line 198: | Line 189: | ||
! 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 | ||
!Other symptoms | !Other symptoms | ||
!Lab 1 | !Lab 1 | ||
!Imaging 1 | !Imaging 1 | ||
!Biopsy | !Biopsy | ||
Histopathology | Histopathology | ||
Line 216: | Line 203: | ||
| 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;" | | | 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;" | | ||
* [[Xerosis]] | |||
* Scaly skin | |||
* Annular [[erythema]] | |||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
Line 248: | Line 233: | ||
|- | |- | ||
| 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;" | |
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 |
|
+ | + | + | + |
|
||||||
INFECTIONS | Bacteria | Syphilis |
|
+ | - | - | + | Primary syphilis:
Secondary syphilis:
Tertiary syphilis
|
|
Painless clean base chancre. | ||
Brucellosis |
|
+ | - | - | + |
|
|
Night sweats, often with characteristic smell, likened to wet hay | ||||
Viral | infectious mononucleosis |
|
+ | - | - | + |
|
|||||
CMV | + | - | - | + | ||||||||
HIV |
|
- | + | - | - | |||||||
Cat scratch disease | + | - | - | + | ||||||||
Mycobacteria | Tuberculosis |
|
+ | + | + | + |
|
|
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 | - | - | - |