35yr old female with ? Cervical lymphadenopathy

 DR.CHETANA (INTERN)


DR.NAVYA (INTERN)


DR.ABDUL RAHEEM (INTERN)


DR.ASHFAQ(INTERN)


DR.SRAVYA(INTERN)


DR.GNANADA(INTERN)


DR.CHARAN(PG1)


  DR.CHANDANA (PG 1)


DR.SUSMITHA(PG2)


DR.ADITHYA (PG3)


DR.PRANEETH(PG3) 


DR.PRAVEEN NAIK (ASS.PROF)


DR.RAKESH BISWAS(HOD)


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Here is a case I have seen -

Admission on 15/3/2021

35 yr old female who is a daily wage labourer came with complaints of swelling in the left side of neck .she was apparently asymptomatic 3 yrs back then developed sudden onset of swelling of size 3x3 cm and 2 more swellings of size 1x2 cm started increasing since 2 years on left side of neck firm in consistency 

C/o headache -dragging type associated with blurring of vision -nausea and vomiting ,more during mid day , decreased sleep since 15 days 

No axillary and inguinal lymph nodes 

No h/o fever ,cough ,wt loss ,oral ulcers ,white discharge ,dysperonea 

K/c/o renal stones 4 yrs back 

Disc prolapse 4 yrs back 

18 yrs back she had joint pains she used herbal medication for 1 yr/3 per day she had similar complaints for 2 yrs then subsided after

Menstrual history 

Age of menarche-13 yrs bleeds-3/28 days 

Not associated with clots 

No dysmenorrhea 

General examination-

No pallor ,icterus,clubbing ,cyanosis.

Bp -110/70 mm Hg

PR - 88bpm 

RR -22cpm


On examination 

Localised swelling 

3x3 cm 

2 LYmph nodes -0.5x0.5 

Soft in consistency ,movable ,discreate 

Ascc with tenderness 

No local rise of temperature 

No skin lesion of lymph nodes 

Not matted

Other group of lymph nodes- normal 

CVS-S1,S2 heard, no murmurs

RS-BAE+

P/A - soft, non tender

CNS-NAD












Provisional diagnosis

? Cervical lymphadenopathy under evaluation











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