Sandbox:Javaria: Difference between revisions
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{{familytree | Y01 | | Y02 | |,| Y03 |.| | Y04 | | | |Y01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''Diagnostic of self-limiting or benign disease'''<br> | {{familytree | Y01 | | Y02 | |,| Y03 |.| | Y04 | | | |Y01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''Diagnostic of self-limiting or benign disease'''<br> | ||
[[Pharyngitis]], [[URTI]], [[conjunctivitis]], [[cat-scratch disease]], etc|Y02='''Suggests infection/ serious infection'''|Y03='''Unexplained'''|Y04='''Suggests malignancy'''}} | [[Pharyngitis]], [[URTI]], [[conjunctivitis]], [[cat-scratch disease]], etc|Y02='''Suggests infection/ serious infection'''|Y03='''Unexplained'''|Y04='''Suggests malignancy'''}} | ||
{{familytree | |!| | | |!| | |!| | | |!| | |!|}} | {{familytree | |!| | | |!| | |!| |!| |!| | |!|}} | ||
{{familytree | K01 | | K02 | |!| K03 |!| | K04 | | K01=<div style="float: left; text-align: left; width: 20em; padding:1em;"> May require specific tests<div class="mw-collapsible mw-collapsed"><br> | {{familytree | K01 | | K02 | |!| K03 |!| | K04 | | K01=<div style="float: left; text-align: left; width: 20em; padding:1em;"> May require specific tests<div class="mw-collapsible mw-collapsed"><br> | ||
❑ Throat swab<br> | ❑ Throat swab<br> | ||
❑ [[Sputum exam]]| K02=<div style="float: left; text-align: left; width: 20em; padding:1em;"> | ❑ [[Sputum exam]]| K02=Perform specific tests<div style="float: left; text-align: left; width: 20em; padding:1em;"><div class="mw-collapsible mw-collapsed"><br> | ||
❑ [[Mononucleosis|IM]]: [[Mononucleosis laboratory findings|Heterophile Antibody]] and [[Mononucleosis laboratory findings|monospot test]] <br> | ❑ [[Mononucleosis|IM]]: [[Mononucleosis laboratory findings|Heterophile Antibody]] and [[Mononucleosis laboratory findings|monospot test]] <br> | ||
❑ [[Syphilis]]: [[VDRL]], [[RPR]]<br> | ❑ [[Syphilis]]: [[VDRL]], [[RPR]]<br> | ||
Line 73: | Line 73: | ||
❑ [[Autoimmune disorders]]: [[ANA]], [[Rheumatoid factor]], etc<br> | ❑ [[Autoimmune disorders]]: [[ANA]], [[Rheumatoid factor]], etc<br> | ||
❑ [[Tuberculosis]]: [[PPD]]<br> | ❑ [[Tuberculosis]]: [[PPD]]<br> | ||
❑ [[Cat scratch fever|Cat scratch disease]]: [[IgM]], [[IgG]]|K03= | ❑ [[Cat scratch fever|Cat scratch disease]]: [[IgM]], [[IgG]]|K03=Risk factors for [[malignancy]]<br>Family history, [[age]], exposure, etc|K04=Perform specific tests}} | ||
{{familytree | |!| | | |!| | |!| | | |!| | |!|}} | {{familytree | |!| | | |!| | |!| |!| |!| | |!|}} | ||
{{familytree | |!| | |,|^|.| |!| | | |!| | F01 |F01=Excisional biopsy}} | {{familytree | |!| | |,|^|.| |!| |!| |!| | F01 |F01=Excisional biopsy}} | ||
{{familytree | |!| B01 | | B02 | | | |!| |,|^|-|.|B01=Positive|B02=Negative|}} | {{familytree | |!| B01 | | B02 | |!| |!| |,|^|-|.|B01=Positive|B02=Negative|}} | ||
{{familytree | |!| | |!| | | | | | | |`| J01 | | J02 | |J01=Negative|J02=Positive}} | {{familytree | |!| | |!| | | | | |!| |`| J01 | | J02 | |J01=Negative|J02=Positive}} | ||
{{familytree | |!| | |! | {{familytree | |!| | |!| | | | | |!| | | | | | | |!| | | |}} | ||
{{familytree | K04 | | K05 | | | |!| | | | | | K03 | |K04=<div style="float: left; text-align: left; width: 20em; padding:1em;">❑ '''Treat'''<div class="mw-collapsible mw-collapsed"><div style="float: left; text-align: left; padding:1em;">with [[antibiotics]] if required and/ or symptomatic treatment<br> | |||
{{familytree | | |||
❑ For an untreatable or disease with residual symptoms counsel the [[patient]]<br> | ❑ For an untreatable or disease with residual symptoms counsel the [[patient]]<br> | ||
❑ Follow up for advancing or persistent [[lymphadenopathy|LAD]]| | ❑ Follow up for advancing or persistent [[lymphadenopathy|LAD]]|K05=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''Treat'''<div class="mw-collapsible mw-collapsed"><br> | ||
❑ [[Mononucleosis medical therapy|IM treatment]]<br> | ❑ [[Mononucleosis medical therapy|IM treatment]]<br> | ||
❑ [[Syphilis medical therapy|Syphilis treatment]]<br> | ❑ [[Syphilis medical therapy|Syphilis treatment]]<br> | ||
Line 89: | Line 88: | ||
❑ [[Autoimmunity#Treatments|Treatment of autoimmune disorders]]<br> | ❑ [[Autoimmunity#Treatments|Treatment of autoimmune disorders]]<br> | ||
❑ [[Tuberculosis medical therapy|Tuberculosis treatment]]<br> | ❑ [[Tuberculosis medical therapy|Tuberculosis treatment]]<br> | ||
❑ [[Cat scratch fever medical therapy|cat scratch disease treatment]] | ❑ [[Cat scratch fever medical therapy|cat scratch disease treatment]]|K01=Low risk|K02=High risk|K03='''Treat'''<div class="mw-collapsible mw-collapsed"><div style="float: left; text-align: left; padding:1em;"><br>Surgical resection/ [[chemotherapy]]/ [[radiotherapy]]}} | ||
{{familytree | | | | | | | | | | |!| | | | | | | |}} | |||
{{familytree | | | | | | |,|-|-|-|^|-|-|.| | | | }} | {{familytree | | | | | | |,|-|-|-|^|-|-|.| | | | }} | ||
{{familytree | | | | | | | {{familytree | | | | | | A01 | | | | | A02 | | | | | | |A01= Low risk<br> |A02=High risk}} | ||
{{familytree | | | | | |!| | | | | | |!| | | | }} | {{familytree | | | | | | |!| | | | | | |!| | | | }} | ||
{{familytree | | | | | | {{familytree | | | | | | |!| | | | | | B01 | | B01=<div style="float: left; text-align: left; line-height: 150% ">Specific tests}} | ||
{{familytree | | | | | | | | {{familytree | | |,|-|-|-|^|-|.| | | | | | | | | }} | ||
{{familytree | | | | | | | | | | | {{familytree | | C01 | | | | | C02 | | | | | | | | |C01=Localized|C02=Generalized}} | ||
{{familytree | {{familytree | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | {{familytree | | | | | | | | | | | | | | | | | | | | |E01= }} | ||
{{familytree/end}} | {{familytree/end}} |
Revision as of 10:59, 22 August 2020
.
History
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Physical exam Appearance of the patient Cachexia or surgical scar marks demonstrating previous malignancy treatment
❑ HEENT
❑ Extremities exam | |||||||||||||||||||||||||||||||||||||||||||||
Palpable lymph node ❑ Location: (Localized vs generalized)
❑ Dimensions
❑ Tenderness or pain:
❑ Consistency
❑ Mobility
| |||||||||||||||||||||||||||||||||||||||||||||
Labs ❑ CBC with differential | |||||||||||||||||||||||||||||||||||||||||||||
Diagnostic of self-limiting or benign disease Pharyngitis, URTI, conjunctivitis, cat-scratch disease, etc | Suggests infection/ serious infection | Unexplained | Suggests malignancy | ||||||||||||||||||||||||||||||||||||||||||
May require specific tests | Perform specific tests ❑ IM: Heterophile Antibody and monospot test | Risk factors for malignancy Family history, age, exposure, etc | Perform specific tests | ||||||||||||||||||||||||||||||||||||||||||
Excisional biopsy | |||||||||||||||||||||||||||||||||||||||||||||
Positive | Negative | ||||||||||||||||||||||||||||||||||||||||||||
Negative | Positive | ||||||||||||||||||||||||||||||||||||||||||||
❑ Treat with antibiotics if required and/ or symptomatic treatment ❑ For an untreatable or disease with residual symptoms counsel the patient | Treat | ||||||||||||||||||||||||||||||||||||||||||||
Low risk | High risk | ||||||||||||||||||||||||||||||||||||||||||||
Specific tests | |||||||||||||||||||||||||||||||||||||||||||||
Localized | Generalized | ||||||||||||||||||||||||||||||||||||||||||||
- ↑ Garg PK, Jain BK, Dubey IB, Sharma AK (2013). "Generalized lymphadenopathy: physical examination revisited". Ann Saudi Med. 33 (3): 298–300. doi:10.5144/0256-4947.2012.01.7.1525. PMC 6078537. PMID 22750769.
- ↑ Mohseni S, Shojaiefard A, Khorgami Z, Alinejad S, Ghorbani A, Ghafouri A (March 2014). "Peripheral lymphadenopathy: approach and diagnostic tools". Iran J Med Sci. 39 (2 Suppl): 158–70. PMC 3993046. PMID 24753638.
- ↑ Bazemore AW, Smucker DR (December 2002). "Lymphadenopathy and malignancy". Am Fam Physician. 66 (11): 2103–10. PMID 12484692.
- ↑ Soldes OS, Younger JG, Hirschl RB (October 1999). "Predictors of malignancy in childhood peripheral lymphadenopathy". J. Pediatr. Surg. 34 (10): 1447–52. doi:10.1016/s0022-3468(99)90101-x. PMID 10549745.
- ↑ Ghirardelli ML, Jemos V, Gobbi PG (March 1999). "Diagnostic approach to lymph node enlargement". Haematologica. 84 (3): 242–7. PMID 10189390.