 |  lymphadenopathy q
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| Author | 12 Posts |
Hagar
Forum Junior
Topics: 4
Posts: 24
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35-yr old male complains of a lump that is nontender on palpation in his left supraclavicular area. He also refers recurrent fever, a 10lb weight loss and pain in the lump on ingestion of alcohol. What is the most likely diagnosis?
A-Acute lymphocytic leukemia
B-Metastatic stomach carcinoma
C-Metastatic pancreatic carcinoma
D-Hodgkin's disease
E-CMV infectious mononucleosis
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| doc179
Forum Guru
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Posts: 1,217
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B
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| guangyu
Forum Elite
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b
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| druas
Forum Elite
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B...virchow,s nodes
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| general malaise
Forum Guru
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virchow's node does not cause pain on ingesting alcohol
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| druas
Forum Elite
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hagar plz post the answer..
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| p53
Forum Guru
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of course, it's D.
only Hodgkin's Lymphoma (Hodgkin's Disease was renamed) is associated with the 'pain in the lump on ingestion of alcohol'.
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| msyamp
Forum Fanatic
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hey its hodgkin's disease. causes pain in the lymphnodes while drinking.
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| druas
Forum Elite
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thx...p53 and msyamp
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| Hagar
Forum Junior
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yup hodgkin's has a very specific but rare sympton of pain on alcohol ingestion which can also have fever night sweats and weight loss. mets from stomach cancer is a big distractor
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| msyamp
Forum Fanatic
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specificities of hodgkins are
1. first finding is hilar lymphnodes
2. pel ebstein fever means every 15days have remission and again 15 fever.
3. pain on drinking alcohol
4. laparotomy was used to stage
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| Natasa
Forum Elite
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Right,it's Hodgkgin's disease.
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