{"id":2498,"date":"2020-01-03T16:30:08","date_gmt":"2020-01-03T16:30:08","guid":{"rendered":"http:\/\/papergp.com\/index.php\/others\/misc\/lymphadenopathy\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"lymphadenopathy","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/misc\/lymphadenopathy\/","title":{"rendered":"Lymphadenopathy"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">History<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Infection &#8211; eyes, throat, skin, genital sores<\/li><li>Metastatic malignancy &#8211; dysphagia, hoarseness, cough, haemoptysis<\/li><li>Constitutional (B) symptoms &#8211; fever, night sweats, weight loss, (bleeding)<\/li><li>Medications<\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Examination<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Site &#8211; cervical, axillary, clavicular, inguinal, abdomen <\/li><li>Size<\/li><li>Consistency (soft, regular)<\/li><li>Mobility<\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Interpretation of LN findings<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Benign <ul><li>1cm<\/li><li>smooth, round, non-tender, mobile<\/li><\/ul><\/li><li>Reactive<ul><li>as per benign but tender<\/li><\/ul><\/li><li>Haematological malignancy<ul><li>rubbery<\/li><\/ul><\/li><li>Metastases<ul><li>hard, firm, irregular, tethered<\/li><\/ul><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Clinical management<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Borderline LN<ul><li>Consider ultrasound<ul><li>If suspicious, refer to appropriate speciality<\/li><\/ul><\/li><\/ul><\/li><li>Generalised LN<ul><li>2ww Haematology<\/li><li>Bloods: FBC, HIV, EBV, CMV, Toxo<\/li><\/ul><\/li><li>Localised concerning features<ul><li>Head and neck &#8211;> 2ww ENT + CXR<\/li><li>Axilla &#8211;> 2ww Breast<\/li><li>Groin or abdomen &#8211;> 2ww Haematology<\/li><li>Mediastinal or hilar &#8211;> 2ww Respiratory<\/li><\/ul><\/li><\/ul>\n\n\n\n<pre class=\"wp-block-preformatted\">Reference\n<a href=\"https:\/\/www.wirralccg.nhs.uk\/media\/5587\/gp-lymph-node-pathway.pdf\">https:\/\/www.wirralccg.nhs.uk\/media\/5587\/gp-lymph-node-pathway.pdf<\/a> \n\n<a href=\"https:\/\/geekymedics.com\/lymphoreticular-examination-osce-guide\/\">https:\/\/geekymedics.com\/lymphoreticular-examination-osce-guide\/<\/a> <\/pre>\n","protected":false},"excerpt":{"rendered":"<p>History Infection &#8211; eyes, throat, skin, genital sores Metastatic malignancy &#8211; dysphagia, hoarseness, cough, haemoptysis Constitutional (B) symptoms &#8211; fever, night sweats, weight loss, (bleeding) Medications Examination Site &#8211; cervical, axillary, clavicular, inguinal, abdomen Size Consistency (soft, regular) Mobility Interpretation of LN findings Benign 1cm smooth, round, non-tender, mobile Reactive as per benign but tender &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/misc\/lymphadenopathy\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Lymphadenopathy<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2487,"menu_order":199,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2498","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=2498"}],"version-history":[{"count":5,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2498\/revisions"}],"predecessor-version":[{"id":2511,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2498\/revisions\/2511"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2487"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=2498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}