Page 213 - 2021 IDMT Digital

LYMPHANGITIS and LYMPHADENITIS
Introduction:
• 7KH O\PSK V\VWHP LV LPSRUWDQW LQ WKH GHOLYHU\ RI WR[LQV WKURXJKRXW WKH ERG\ WR WKHLU
UHVSHFWLYH ZDVWH V\VWHPV
• &DXVHV RI O\PSKDGHQLWLV LQFOXGH EDFWHULDO YLUDO DQG SDUDVLWLF LQIHFWLRQV
• *HQHUDOO\ O\PSKDGHQLWLV ZLOO DULVH IURP WKH VLWH RI DQ LQIHFWHG ZRXQG

Subjective:
• 6LJQV DQG 6\PSWRPV
o 7KUREELQJ SDLQ DW LQIHFWLRQ VLWH
o 3DLQ LQ O\PSK QRGHV
o 3DWLHQW PD\ FRPSODLQ RI UHG VWUHDNLQJ QHDU VLWH
o )HYHU FKLOOV PDODLVH
• )RFXVHG +LVWRU\
o 5HFHQW LQMXU\ RU LQIHFWLRQ
o &RQVWLWXWLRQDO V\PSWRPV
o 5HFHQW ERG\ IOXLG H[FKDQJH WKLQN 0RQR
o 5HFHQW WUDYHO
o 6SHHG RI GHYHORSPHQW
Objective:
• 3K\VLFDO ([DP
o )HYHU
o &HOOXOLWLV
o 6ZROOHQ WHQGHU O\PSK QRGHV
o 5HG VWUHDNLQJ IURP LQIHFWLRQ VLWH WRZDUG O\PSK QRGHV
o 7DFK\FDUGLD
• 7RROV
o &%& LI DYDLODEOH ZLOO OLNHO\ LQGLFDWH OHXNRF\WRVLV ZLWK D OHIW VKLIW
o 7KLV LV D FOLQLFDO GLDJQRVLV
Assessment:
• 'LIIHUHQWLDO
o 0RQRQXFOHRVLV UHFHQW H[SRVXUH WR VLFN FRQWDFW VSOHQRPHJDO\ VZROOHQ
WRQVLOV
o 6\SKLOLV KLVWRU\ SUHVHQFH RI SDLQOHVV FKDQFUH RQ JHQLWDOLD
o &DW VFUDWFK IHYHU: enlarged lymph nodes proximal to inoculation site
o 1HFURWL]LQJ IDVFLLWLV QRQ EODQFKLQJ HU\WKHPD SDWLHQW ZLOO EH H[WUHPHO\ LOO
o 6\VWHPLF LPPXQH GLVHDVH +,9 &09 JOREDO LQYROYHPHQW RI O\PSK QRGHV

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