{"presentation":{"slides":[{"elements":[{"x":20.697167755991288,"y":41.03671706263499,"width":62.091503267973856,"height":15.11879049676026,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Approach to Lymphadenopathy in LNTB<\/span><\/a><\/h2>\n"},"subContentId":"af33d3d5-2d87-46d0-9c28-fdb83d9b010c","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":3.2679738562091503,"y":30.23758099352052,"width":29.411764705882355,"height":47.51619870410367,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
Mycobacterium tuberculosis<\/p>\n\t<\/li>\n\t
\n\t
Bacterial: Sinusitis, otitis externa, cellulitis, abscess, tonsillitis, pharyngitis<\/p>\n\t<\/li>\n\t
\n\t
Viral: EBV, CMV, HIV<\/p>\n\t<\/li>\n\t
\n\t
Others: fungus, parasite<\/p>\n\t<\/li>\n<\/ul>\n"},"subContentId":"6e5739df-9100-4a2d-ae90-dcaefaedd0af","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":10.893246187363834,"y":19.43844492440605,"width":11.982570806100219,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Infectious<\/span><\/span><\/p>\n"},"subContentId":"b5556b14-bdf4-4f21-bc8d-21a999a370d9","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":34.85838779956427,"y":34.557235421166304,"width":30.501089324618736,"height":41.03671706263499,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
Primary hematologic malignancy: HL, NHL<\/p>\n\t<\/li>\n\t
\n\t
Melanoma, SCC skin cancers<\/p>\n\t<\/li>\n\t
\n\t
Solid-organ cancer metastatic<\/p>\n\t<\/li>\n<\/ul>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"d0759175-80b1-4750-9a1b-50a03740310e"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":39.21568627450981,"y":19.43844492440605,"width":11.982570806100219,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Neoplasms<\/span><\/span><\/p>\n"},"subContentId":"b3fe5cfa-bdfb-401d-8332-312e48f1dd2a","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":66.44880174291939,"y":34.557235421166304,"width":27.233115468409586,"height":56.15550755939525,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
\n\t
\n\t
Sarcoidosis<\/p>\n\t<\/li>\n\t
\n\t
SLE<\/p>\n\t<\/li>\n\t
\n\t
Castleman disease<\/p>\n\t<\/li>\n\t
\n\t
Histiocytic necrotizing lymphadenitis (Kikuchi-Fujimoto disease)<\/p>\n\t<\/li>\n\t
\n\t
Drugs<\/p>\n\t<\/li>\n<\/ul>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"ed223224-6037-48fd-8b8c-a3eeb486443a"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":69.71677559912854,"y":19.43844492440605,"width":25.05446623093682,"height":6.479481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Miscellaneous conditions <\/span><\/span><\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"731dd96e-2eac-4eb2-9a28-1a493c024b41"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":33.769063180827885,"y":28.077753779697623,"width":0.32679738562091504,"height":58.31533477321815,"action":{"library":"H5P.Shape 1.0","params":{"line":{"borderWidth":"2","borderStyle":"solid","borderColor":"rgb(3, 106, 4)"},"type":"vertical-line","shape":{"fillColor":"#ffffff","borderColor":"#000000","borderWidth":"0","borderStyle":"solid","borderRadius":"0"}},"subContentId":"8f717153-faae-4d47-8b4a-31f6d56218b7","metadata":{"contentType":"Shapes","license":"U"}},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false},{"x":65.359477124183,"y":25.91792656587473,"width":0.32679738562091504,"height":58.31533477321815,"action":{"library":"H5P.Shape 1.0","params":{"line":{"borderWidth":"2","borderStyle":"solid","borderColor":"rgb(3, 106, 4)"},"type":"vertical-line","shape":{"fillColor":"#ffffff","borderColor":"#000000","borderWidth":"0","borderStyle":"solid","borderRadius":"0"}},"metadata":{"contentType":"Shapes","license":"U"},"subContentId":"ca6375dc-4a31-477b-a604-873b93648813"},"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false},{"x":3.2679738562091503,"y":4.319654427645788,"width":64.27015250544663,"height":8.639308855291576,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Causes of Lymphadenopathy<\/h2>\n"},"subContentId":"90891cb4-ea37-4faf-931c-c1ffd49c7d75","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":1.0893246187363834,"y":92.87257019438445,"width":64.27015250544663,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Tuberculous Lymphadenitis Prasanta Raghab Mohapatra, Ashok Kumar Janmeja , JAPI \u2022 August 2009 \u2022 VOL. 57 <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"8542d99d-caa8-4eb5-a49c-963d26bcab63","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":10.893246187363834,"y":4.319654427645788,"width":86.05664488017429,"height":86.39308855291577,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
History Taking<\/h2>\n\n
1) Duration of swelling<\/strong><\/p>\n\n
\n\t
\n\t
usually variable,<\/p>\n\t<\/li>\n\t
\n\t
can be acute (1-2 weeks) in some cases to chronic (months) in others.<\/p>\n\t<\/li>\n<\/ul>\n\n
2) Associated symptoms<\/strong><\/p>\n\n
\n\t
Fever<\/li>\n\t
Weight loss <\/li>\n\t
Loss of appetite<\/li>\n<\/ul>\n\n
3) Contact\/past history of tuberculosis<\/strong><\/p>\n\n
4) History of tobacco\/alcohol\/drug abuse<\/strong><\/p>\n\n
5) Treatment history including the history of previous ATT intake (including drug, dose, duration and compliance).<\/strong><\/p>\n"},"subContentId":"ae236b7e-68c7-4c94-89b5-9cbb65cc616d","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":4.319654427645788,"width":5.446623093681917,"height":10.799136069114471,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64904c7119c53.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"subContentId":"4ec09b5e-23a2-402c-84f0-14e1796b0755","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":1.0893246187363834,"y":92.87257019438445,"width":64.27015250544663,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Tuberculous Lymphadenitis Prasanta Raghab Mohapatra, Ashok Kumar Janmeja , JAPI \u2022 August 2009 \u2022 VOL. 57 <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"2256417b-4a1c-46ae-9b7c-0277700570a4","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":13.071895424836601,"y":8.639308855291576,"width":78.43137254901961,"height":28.077753779697623,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Clinical Examination<\/h2>\n\n
On local examination, various factors like location, size, consistency etc. can be assessed. Specific areas can be evaluated in a patient with lymphadenopathy with various causes such as: <\/p>\n"},"subContentId":"a297e2a4-ef6c-4fe1-bb9c-46dda078731d","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":8.639308855291576,"width":6.5359477124183005,"height":12.958963282937365,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64905483e4de5.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"subContentId":"4a2bfac6-6663-4832-80b4-8fcbbe62cbee","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":5.446623093681917,"y":41.158099352051835,"width":91.50326797385621,"height":43.196544276457885,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Intraoral examination <\/span>- cause of the swelling, odontogenic involvement or chronic ulcer<\/p>\n\n
Location of lymph nodes:<\/span>Commonly involved are Cervical Lymphnodes (7 levels of neck LN)<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n
\n\t
Generalized (>3 groups) <\/li>\n\t
Localized disease can be due to local infection and malignancy due to reactive changes and metastasis respectively<\/li>\n<\/ul>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"f7903f15-cc37-4494-9c04-ff71cea63634"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":1.0893246187363834,"y":92.87257019438445,"width":64.27015250544663,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Tuberculous Lymphadenitis Prasanta Raghab Mohapatra, Ashok Kumar Janmeja , JAPI \u2022 August 2009 \u2022 VOL. 57 <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"2c892023-1f70-4dc0-8e42-d9af984542e0","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":6.479481641468682,"width":6.5359477124183005,"height":12.958963282937365,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64905483e4de5.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"subContentId":"d064f9a8-13fa-4103-bad4-7abc2cfa3d92","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":11.982570806100219,"y":2.159827213822894,"width":79.520697167756,"height":97.19222462203024,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Consistency of lymph node:<\/span><\/p>\n\n
\n\t
Hard \u2013 Malignancy \/ metastasis , chronic infection<\/li>\n\t
Firm :TB\/lymphoma \/ chronic leukemia<\/li>\n\t
Soft \u2013 Acute leukemia<\/li>\n<\/ul>\n\n
Size: <\/span>Significant if >2 cm diameter in the inguinal region and >1 cm in other regions.<\/p>\n\n
Fixation \/ Mobility :<\/span><\/p>\n\n
\n\t
Fixed \u2013 cancer \/ inflammation<\/li>\n\t
Matted \u2013 TB<\/li>\n<\/ul>\n\n
Tenderness<\/span><\/p>\n\n
Acute viral \/bacterial infection<\/p>\n\n
Rapid tumor expansion \/ bleeding into nodes<\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"feafaf18-6662-42ac-a140-d95983895bfc"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":1.0893246187363834,"y":92.87257019438445,"width":64.27015250544663,"height":5.183585313174946,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Tuberculous Lymphadenitis Prasanta Raghab Mohapatra, Ashok Kumar Janmeja , JAPI \u2022 August 2009 \u2022 VOL. 57 <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n"},"subContentId":"b093aa82-6dc5-431d-ac98-eb3d2aab7016","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":6.479481641468682,"width":6.5359477124183005,"height":12.958963282937365,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64905483e4de5.png","mime":"image\/png","copyright":{"license":"U"},"width":128,"height":128}},"subContentId":"7419608e-9d45-44aa-9bf6-ab2c6b9d43fc","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":14.161220043572985,"y":6.479481641468682,"width":79.520697167756,"height":75.5939524838013,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
<\/p>\n\n
Tenderness<\/span><\/p>\n\n
\n\t
\n\t
Acute viral \/bacterial infection<\/p>\n\t<\/li>\n\t
\n\t
Rapid tumor expansion \/ bleeding into nodes<\/p>\n\t<\/li>\n<\/ul>\n\n
Organomegaly <\/span><\/p>\n\n
\n\t
\n\t
Liver \/ Spleen<\/p>\n\t<\/li>\n<\/ul>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"95799a85-431f-4e32-ac96-2004220d3dcc"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":57.734204793028326,"y":15.11879049676026,"width":31.69934640522876,"height":69.11447084233261,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-6490494b5cc5b.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":399,"height":441}},"metadata":{"contentType":"Image","license":"U","title":"Untitled Image"},"subContentId":"bfb75c9d-d081-43b1-9675-4c818bc50b26"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":4.357298474945534,"y":8.639308855291576,"width":49.01960784313726,"height":79.91360691144709,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
Levels of Cervical LN<\/h2>\n\n
1. Level I \u2013 Submental (A)& Submandibular(B)<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n
2. Level II \u2013 Upper Jugular<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n
3. Level III \u2013 Middle Jugular<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n
4. Level IV \u2013 Lower Jugular<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n
5. Level V \u2013 Posterior Triangle<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n
6. Level VI \u2013 Anterior\/Central Compartment<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n
7. Level VII \u2013 Superior Mediastinal<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n\n
<\/p>\n"},"metadata":{"contentType":"Text","license":"U","title":"Untitled Text"},"subContentId":"38717ad2-2d7b-499f-958b-271d3ba0d85c"},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":false,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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Approach to Lymphadenopathy in LNTB

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Approach to Lymphadenopathy in LNTB

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