A patient has visited his physician because he found an enlarged lymph node along the mediastinal border. When questioned, the physician may be alerted to a possible diagnosis of Hodgkin lymphoma (HL) if the patient also displays: Select all that apply
A)
yeast infection in the mouth.
B)
night sweats.
C)
unexplained pruritus.
D)
joint swelling.
E)
sore throat with pustules on tonsils.
Ans:
B, C
Feedback:
Most people with HL present with painless enlargement of a single node or group of nodes. The initial lymph node involvement typically is above the level of the diaphragm. Mediastinal masses are frequent and discovered on routine chest x-ray. There may be complaints of chest discomfort with cough or dyspnea. Additional symptoms include fevers, chills, night sweats, and weight loss. Pruritus and intermittent fevers associated with night sweats are classic symptoms of HL. Yeast infections and joint swelling are not associated with HL. Sore throat with pustules on tonsils is associated with strep throat.
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