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Opiod

Ulcer, skin graft

Breast

Lymph node

LYMPH NODE

Case 1:

Pt is a young man with multiple painful lateral neck swellings. H/O loss of weight. 
 Do head to toe examination and comment on your findings.

Q: How to describe lymph nodes


Q: Difference between hard, firm, soft
Q: How to assess whether a swelling is cystic or not
Q: Difference between matted and discrete.
Q: DDX of this pt
Q: What is the significance of checking oral cavity of pt, and what info can you get based on
inspection of lips, tongue and oral mucosa respectively.  
Q: Definition ulcer, sinus, fistula and how they differ
Q: Groups of cervical lymph nodes
Q: Describe cellulitic skin changes
Q: What else would you ask this pt, and what are other symptoms of TB
Q: What investigations would you like to do, and specifically investigations that are available at
PHC

 Level of lymph nodes


 What is significant lymphadenopathy?
 Where can you find tender lymphadenopathy?
 Types of lymphadenopathy
 Regions of lymph node enlargement
 Causes of lymphadenopathy - inguinal region (unilateral and bilateral)
 Check for cervical lymph node

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