Swollen Lymph Node Case Study

An 18 year old African American male presented for evaluation of a mediastinal mass seen on chest x ray. He was initially seen in the ED with transient, stabbing, chest pain, which lasted for a few seconds and self-resolved. This prompted evaluation with a chest radiograph. He had no shortness of breath, night sweats, chills, loss of appetite, weight loss, hemoptysis or cough. His past medical history was only significant for seasonal allergies. He had no prior surgeries and had no history of smoking, alcohol or illicit drug use. He was on no medications. Complete physical examination including vital signs and cardiopulmonary exam was normal. Laboratory testing showed a normal complete blood count, biochemistry profiles and he was HIV negative.

History of Present Illness: The patient was presented with a one day history of shortness of breath (SOB), respiratory distress, decreased food intake and occasional cough. According to his mother, he was in his usual state of health until the night before he got to the hospital nearby their house. She noted him to be working hard to breathe with retractions and wheezing, also noted him to refusing to eat and occasional coughing. His mother stated that she took him to his PCP for his immunizations; from there he developed a fever after the vaccine, which was resolved after a day. Mother denies any skin contact, any diarrhea, constipation, vomiting or any other signs or symptoms. After that, she took him to an emergency room (ER) at Southwest where he received multiple DuoNebs, NS bolus, Racemic Epinephrine and was

This is 59 year old white male who is here for his medication refills. Patient reports rash on his face, that is red, itch, with wax feel to it and flacking.

Victims also developed dark spots on their skin & swollen glands. What is the definition of the

Chelsea looks in the mirror and frowns. She cannot get past the huge tree-trunk looking extremity that she is supposed to call her arm. She goes through her normal daily routine of self-care, careful not to scrape herself. Chelsea needs groceries and wants to go to the bank, but she decides to stay indoors. She cannot emotionally bear the weight of people staring at her. Never mind the embarrassment of having to ask someone to help her pick up a gallon of milk because her branch cannot do it for her. Chelsea has a disease called Lymphedema. Lymphedema is a disorder that affects the vessels in the lymphatic system. There are many causes of this limiting illness; fortunately, there are also treatment programs occupational therapists can implement

The patient is on a gluten free diet due to Celiac disease. She is takes a daily vitamin, melatonin and a calcium supplement. She is also on birth control. The patient has a history of recurrent ear infections. The patient was last hospitalized at the age of eight after falling off her bike and passing out. She fractured her ankle as a child. There is a family history of Celiac disease and Parkinson’s disease. She participates in physical exercise by going to swim practice five times a week. The patient does not use tobacco. The patient dislocated her finger and complained of pain at a 3 out 10. There are no concerning moles. Patient’s buccal mucosa is a normal pink color and moist, no signs of lesions in mouth or on tongue. Her uvula is

Regional lymphadenopathy is a common finding (McPhee, 2014). Secondary syphilis occurs six to eight weeks after the chancre heals. Secondary syphilis is characterized by parenchymal, constitutional, and mucocutaneous manifestations. The secondary lesions subside in two to six weeks, and the infection proceeds to enter the latent phase. During the latent phase, the infection is only detectable through serologic testing. Latent or tertiary Disease can be manifested as the gumma (a benign granulomatous lesion), cardiovascular syphilis (usually involving vasa vasorum of the ascending aorta causing an aneurysm), and symptomatic neurosyphilis (which can manifest as symptoms of meningitis) (Fauci, 2012).

Lymphedema is a condition that causes abnormal swelling of the leg, arm or any other part of the body due to an accumulation of fluid in the tissues. Both men and women who have received infection, surgery, radiation, dissection, abnormalities and treatment within the lymph codes are at the risk of developing lymphedema. However, some individuals can get it for no apparent reason, while others may be born with the swelling.

The patient is a 69-year-old female who tells me she went swimming this past Monday. She did change out of her bathing suit quickly. She tells me last night however, she was having some itching in her groin. She noticed that there was a rash there. She did put some Desitin on it last night. It continues to be pruritic this morning. She has tried a barrier powder today. She has not had a rash like this before. She is otherwise feeling well. She does have a history of prediabetes.

Authors reported a case of tuberculous lymphadenitis with EN-like lesions and genital ulceration. In addition, they reviewed infectious disease cases with BD like symptoms.

The patient is a 78-year-old gentleman who presents to the ED complaining of painful urination and severe swelling and erythema of the scrotal area. This has been going on for several days. He was seen approximately 2 weeks ago in the urologists office. He was placed on antibiotics but he continued to have increasing pain, increasing swelling and frequency of urination. He is known to have a history of hypertension, some the dementia, diabetes and history of CVA in the past. On presentation his BP is 123/60, pulse of 73, respirations of 16, he is afebrile and is oxygenating well on room air. He is completely cultured in the ED. Ultrasound of the scrotum and testes is done. He has scrotal wall cellulitis, right testicular cyst, bilaterally

The patient declined. Been with husband since age 15 and has no liking for sexual intercourse. The patient has asymptomatic neurosyphilis but cancelled syphilis treatment, said she felt fine. Two months prior to current visit, after delivery of fifth child, patient had significant blood in urine. Tests showed areas of increased cellular activity in the cervix. Physician recommended diagnostics and referred to specialists for ruling out infection or cancer. The patient canceled appointment. One month prior to current visit, the patient tested positive for gonorrhea. The patient re-called to the clinic for treatment. No response.”

Al is a 16-year-old caucasian boy a complaint of sore, reddened, inflamed and swollen glans penis and foreskin. He is partial circumcised has a small skin adhesion on the anterior portion of the glans penis. The patient disclosed the following during our interview: Al patient denies that he also has discharge from his penis but he did notice white film surrounding the head of his penis when he retracted his foreskin. He stated it hurts to retract the skin from on his penis; therefore, he does not retract it routinely to clean it. He says he has had symptoms for several days and that they are getting worse. Al

The disease is commonly referred to as elephantiasis due to the symptom of lymphedema. (W.H.O., 2015) Lymphdema causes the limbs to swell and become immobile, which stems from the lymph vessels becoming blocked by larva nests. (M.C.S., 2014) Another common visible symptom is genital swelling in men, known as a

The lymph nodes are spread across the entire body in a careful network. Their job is to prevent infection from spreading from one area to another. They do this through a system of filters that catches the infection in the nodes before it can make it any further in the body. That is why doctors often check for swollen lymph nodes when they are trying to determine a person's health. Usually, once the infection in a person's body is cleared up, any swollen lymph nodes in the region will go back to their normal size. However, there are occasions when they can't do this alone. And that is when lymph care is needed.