Lymphadenopathy history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
History
A directed history should be obtained to ascertain:
- Constitutional symptoms like night sweats, fever, weight loss suggesting tuberculosis, Hodgkin's lymphoma, other malignancy
- Associated signs and symptoms for suggesting infections or malignancy
- Use of drugs causing lymphadenopathy
- Travel to endemic areas
- High risk behaviour- high risk sexual behaviour, I.V drug abuse
Symptoms
Lymphadenopathy per se can present as
- Lump in the neck (e.g in tumors, sarcoidosis).
- Red, tender skin over lymph node.
- Swollen, tender, or hard lymph nodes.
Most of the times patients present with symptoms of the causative factors of lymphadenopathy, like
- Fatigue
- Fever
- Malaise
- Flu-like illness
- Nausea and vomiting
- Night sweats
- Weight loss and cachexia