khorshid
Forum Guru
Topics: 32
Posts: 591
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A 4 year old child presents with an enlarged submandibular node that is 4 cm in diameter, nontender, and non fluctuant. The node has been enlarged for about 4 weeks, and there is no history of fever or contact with sick person. A CBC is normal, and a Mantoux test with 5 tuberculin units of purified protein derivative shows 6 mm of induration. The most likely dx:
A) cat scratch fever
B) acute pyogenic lymphadenitis
C) acute lymphoblastic leukemia
D) tuberculous lymphadenitis
E) atypical mycobacteria lymphadenitis
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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It is between D and E----
Tuberculous is not probable because in TB-Lymphnodes are fluctuant and constitutional symptoms must be present!It is the cervical lymphadenopathy
which is common
I go with E!---Atypical mycobacterial infection
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| usmlestud
Forum Junior
Topics: 6
Posts: 68
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dd
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| dr in trouble
Forum Guru
Topics: 60
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E
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If u want to do something, do it today as there is no tomorrow.
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| khorshid
Forum Guru
Topics: 32
Posts: 591
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E is the right answer.
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