Generalized lymphadenopathy refers to enlarged lymph nodes in two or more noncontiguous areas. It is important to evaluate the age of the patient, location of lymphadenopathy, associated symptoms, and presence of splenomegaly. In patients under 30, lymphadenopathy is usually benign, while in those over 50 it is often malignant. Diagnosing the cause involves a thorough history, physical exam, and further testing as needed. Common causes include infections, malignancies, storage diseases, drug reactions, and autoimmune/inflammatory disorders.
Explanation of what splenomegaly is in relation to its dimension deviation from normal spleen.Classification of splenomegaly according to it's size in adult and pediatric. The causes of splenomegaly along with the symptom that would manifest as a result of this anomaly. Lastly, diagnosis of splenomegaly
Explanation of what splenomegaly is in relation to its dimension deviation from normal spleen.Classification of splenomegaly according to it's size in adult and pediatric. The causes of splenomegaly along with the symptom that would manifest as a result of this anomaly. Lastly, diagnosis of splenomegaly
Examination of Swelling in a patient is always a task for MBBS students. This PPT provides the students, how to elicit a history & also the easy way to examine a swelling.
Cutaneous manifestations of hiv infectiontashagarwal
Dermatological problems occur in more than 90% of patients with human immunodeficiency virus (HIV) infection. In some patients, skin is the first organ affected. Skin diseases have proved to be sensitive and useful measures by which HIV progression can be monitored.
Massive Splenomegaly By Dr Bashir Ahmed Dar Chinkipora Sopore Kashmir Associa...Prof Dr Bashir Ahmed Dar
Dr.Bashir Ahmed Dar Chinkipora Sopore Kashmir India,Associate Prof of medicine presently working in malaysia is a keen teacher, educator and takes pride in his clinical and research accomplishments. His interests include publishing articles related to health issues.Email drbashir123@gmail.com
What is Lymphoma?
Malignant lymphoma is a term given to tumors of the lymphoid system and specifically of lymphocytes and their precursor cells
i.e.
Cancer of the lymphatic system.
Many lymphomas are known to be due to specific genetic mutations.
Examination of Swelling in a patient is always a task for MBBS students. This PPT provides the students, how to elicit a history & also the easy way to examine a swelling.
Cutaneous manifestations of hiv infectiontashagarwal
Dermatological problems occur in more than 90% of patients with human immunodeficiency virus (HIV) infection. In some patients, skin is the first organ affected. Skin diseases have proved to be sensitive and useful measures by which HIV progression can be monitored.
Massive Splenomegaly By Dr Bashir Ahmed Dar Chinkipora Sopore Kashmir Associa...Prof Dr Bashir Ahmed Dar
Dr.Bashir Ahmed Dar Chinkipora Sopore Kashmir India,Associate Prof of medicine presently working in malaysia is a keen teacher, educator and takes pride in his clinical and research accomplishments. His interests include publishing articles related to health issues.Email drbashir123@gmail.com
What is Lymphoma?
Malignant lymphoma is a term given to tumors of the lymphoid system and specifically of lymphocytes and their precursor cells
i.e.
Cancer of the lymphatic system.
Many lymphomas are known to be due to specific genetic mutations.
Cholelithiasis (calculi or gallstones) usually form in the gallbladder from the solid constituents of bile and vary greatly in size, shape and composition.
Dr. Guy Nicastri, Associate Professor of Surgery and Family Medicine at the Warren Alpert School of Medicine at Brown University takes us through some of the pearls of the Acute Abdomen Examination in the Adult
Thyrotoxicosis- complete review of anatomy, physiology, types and clinical fe...Surjeet Acharya
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Slides for 3rd and 4th year medical students in Obstetrics and Gynecology- to not overlook the possibility as a diagnosis- still present. Slides highlighting diagnostic and management challenges
Lymphoma is a cancer that affects the lymphatic system, part of the body's immune system. It originates in lymphocytes and can be Hodgkin or non-Hodgkin lymphoma. Symptoms include enlarged lymph nodes, fever, weight loss, and fatigue. Diagnosis involves tests like biopsies and imaging. Treatment includes chemotherapy, radiation, immunotherapy, and targeted therapy, depending on the type and stage of the lymphoma. Early diagnosis and treatment can improve outcomes.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. Overview
• The body has approximately 600 lymph nodes, but only those in the
submandibular, axillary or inguinal regions may normally be palpable in
healthy people.
• Simple and clinically useful system is to classify lymphadenopathy as
“generalized” if lymph nodes are enlarged in two or more noncontiguous
areas or “localized” if only one area is involved.
3. Evaluation of lymphadenopathy
1. Age of the patient
2. Location of lymphadenopathy
3. Associated symptoms
4. Presence or absence of splenomegaly
4. Evaluation of lymphadenopathy
• Age is the most important consideration because it helps
predict the likelihood of a benign versus malignant process.
• In patients younger than 30 years, lymphadenopathy is due to
a benign underlying process approximately 80% of the time.
• In individuals older than 50 years, it is due to a malignant
process ,approximately 60% of the time.
5. Evaluation of lymphadenopathy
• In localized lymphadenopathy, the lymphatic drainage areas
should be investigated for infection or malignancy.
• Presence of splenomegaly makes malignancy of
hematological origin more likely
6. Diagnostic Approach to Lymphadenopathy
• History
o Are there localizing symptoms or signs to suggest infection or neoplasm in a
specific site?
o Are there constitutional symptoms such as fever, weight loss, fatigue or night
sweats to suggest disorders such as tuberculosis, lymphoma, collagen vascular
diseases, unrecognized infection or malignancy?
o Are there epidemiologic clues such as occupational exposures, recent travel or
high-risk behaviors that suggest specific disorders?
o Is the patient taking a medication that may cause lymphadenopathy? (e.g.,
phenytoin while others, such as cephalosporins, penicillins or sulfonamides, are
more likely to cause a serum sickness-like syndrome with fever, arthralgia and
rash in addition to lymphadenopathy
7. Diagnostic Approach to Lymphadenopathy
Epidemiologic Clues to the Diagnosis of Lymphadenopathy
1) Cat - Cat-scratch disease, toxoplasmosis
2) Undercooked meat –Toxoplasmosis
3) Tick bite - Lyme disease
4) Recent blood transfusion or transplant - Cytomegalovirus, HIV
5) High-risk sexual behavior - HIV, syphilis, Herpes simplex virus,
cytomegalovirus, hepatitis B infection
6) Intravenous drug use - HIV, endocarditis, hepatitis B infection
8. Diagnostic Approach to Lymphadenopathy
• MedicationsThat May Cause Lymphadenopathy
o Phenytoin
o Sulphonamide
o Carbamazepine
o Captopril
o Atenolol
o Allopurinol
9. Diagnostic Approach to Lymphadenopathy
• PHYSICAL EXAMINATION
o Size - Nodes are generally considered to be normal if they are up to 1 cm
in diameter; however, some authors suggest that epitrochlear nodes
larger than 0.5 cm or inguinal nodes larger than 1.5 cm should be
considered abnormal.
o Pain/Tenderness - When a lymph node rapidly increases in size, its
capsule stretches and causes pain. Pain is usually the result of an
inflammatory process or suppuration, but pain may also result from
hemorrhage into the necrotic center of a malignant node. The presence
or absence of tenderness does not reliably differentiate benign from
malignant nodes.
10. Diagnostic Approach to Lymphadenopathy
• PHYSICAL EXAMINATION
o Consistency - Stony-hard nodes are typically a sign of cancer, usually
metastatic. Very firm, rubbery nodes suggest lymphoma. Softer nodes
are the result of infections or inflammatory conditions. Suppurant nodes
may be fluctuant. The term “shotty” refers to small nodes that feel like
buckshot under the skin, as found in the cervical nodes of children with
viral illnesses.
o Matting - A group of nodes that feels connected and seems to move as a
unit is said to be “matted.” Nodes that are matted can be either benign
(e.g., tuberculosis, sarcoidosis or lymphogranuloma venereum) or
malignant (e.g., metastatic carcinoma or lymphomas).
11. Diagnostic Approach to Lymphadenopathy
• PHYSICAL EXAMINATION
o Location - The anatomic location of localized adenopathy will sometimes be helpful in
narrowing the differential diagnosis.
- cat-scratch disease – cervical and axillary
- Infectious mononucleosis – cervical
- STDs - Inguinal
- Supraclavicular - Highest risk of malignancy estimated as 90 percent in
patients older than 40 years
R/S - mediastinum, lungs or esophagus
L/S - testes, ovaries, kidneys, pancreas, prostate, stomach or gallbladder.
- Paraumbilical (Sister Joseph's) node - abdominal or pelvic neoplasm
12. Diagnostic Approach to Lymphadenopathy
• In most cases, a careful history and physical examination will identify a
readily diagnosable cause of the lymphadenopathy, such as upper
respiratory tract infection, pharyngitis, periodontal disease, conjunctivitis,
lymphadenitis, tinea, insect bites, recent immunization, cat-scratch
disease or Dermatitis, and no further assessment is necessary
• In other cases, a definitive diagnosis cannot be made on the basis of the
history and physical examination alone; however, the clinical evaluation
may strongly suggest a particular cause, confirmatory testing should be
performed in order to correctly identify the patient's illness
Eg: HIV, Syphilis, Lymphoma, IMN
13. Diagnostic Approach to Lymphadenopathy
• In patients with unexplained localized lymphadenopathy and a
reassuring clinical picture, a three- to four-week period of observation is
appropriate before biopsy.
• Patients with localized lymphadenopathy and a worrisome clinical
picture or patients with generalized lymphadenopathy will need further
diagnostic evaluation that often includes biopsy
• Fine-needle aspiration is occasionally considered an alternative to
excisional biopsy but often yields a high number of non-diagnostic
results because of the small amount of tissue obtained and the inability
to examine the architecture of the gland
14. Diagnostic Approach to Lymphadenopathy
• Mediastinal lymphadenopathy
o Usually a sign of serious underlying disease
o Unlike most other adenopathies, mediastinal lymphadenopathy is less frequently a
result of infection
o More than 95% of mediastinal masses are caused by tumors or cysts and lymphomas
and acute lymphoblastic leukemia are the most common etiologies
o Nonneoplastic conditions may also be confused with mediastinal adenopathy.These
include the typically large thymus of a child, substernal thyroid glands, bronchogenic
cysts, and abnormalities of the great vessels.
15. Diagnostic Approach to Lymphadenopathy
• Abdominal lymphadenopathy
o Mesenteric adenitis is thought to be viral in etiology and is characterized
by right lower quadrant abdominal pain caused by nodal enlargement
near the ileocecal valve.
o Mesenteric adenopathy may be caused by non-Hodgkin lymphoma or
Hodgkin disease.
o Typhoid fever and ulcerative colitis are other etiologies of mesenteric
adenopathy.
16. Causes for generalized lymphadenopathy
1. Infections
Viruses - EBV, CMV,Varicella ,Roseola infantum,Varicella,Adenovirus, HIV, Rubella Measles
Bacteria -Typhoid,TB, Syphilis, Plague, Infective endocarditis
Parasites -Toxoplasma
Fungal - Coccidiomycosis
2. Malignancies
ALL - 2/3 of all
AML – 1/3 of all
Hodgkin disease - 1/3 of all
NHL – 10%
18. Kikuchi disease [ Histiocytic necrotizing lymphadenitis]
• Most frequently manifests as a relatively acute onset of cervical
adenopathy associated with fever and a flulike prodrome.
• Cervical nodes are affected in about 80% of cases
• Lymphadenopathy is isolated to a single location in 83% of cases, but
multiple chains may be involved
• Cases of generalized adenopathy involving axillary, inguinal, and
mesenteric nodes are unusual