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There was a firm, nontender, 4 cm to 5 cm right axillary nodal conglomerate. There was no scleral icterus or pallor, electro-ocular movements were intact, and oropharyngeal mucosa was normal in appearance. His vitals included a blood pressure of 120/67 mm Hg, a pulse of 62 beats per minute, oral temperature of 97.9☏ (36.1☌), and weight of 69 kg. The patient appeared alert and in no distress. His family history is significant for breast cancer in 1 of his sisters. He never smoked or used street drugs and drinks alcohol occasionally and in moderation. He denied prior exposure to chemicals or a recent finger injury. The patient has lived in the Midwest all of his life and worked in a store stocking shelves. He denied numbness or weakness in his right upper extremity, chest or abdominal pain, fever, vomiting, or weight loss. He complained of constant low energy and easy tiredness.ĭue to the persistent and worsening nature of his symptoms he decided to seek medical attention. He then noted a mass in his right armpit 1 month ago, associated with burning pain and feeling of fullness in right armpit. He did not seek medical attention for these lesions. Routine blood tests include CBC, ESR, LDH, LFT they are helpful in the diagnosis.ĭirect clinical examination is essential.A 48-year-old African American male with no past medical history noted a hyperpigmented lesion under his right middle fingernail and another one to his right index proximal interphalangeal joint 7 months ago.
#Shotty inguinal lymph nodes serial#
Of significance, an increase in nodal size on serial examinations. These are also known as 'Shotty Lymph nodes'.
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Sometimes, following infection Lymph nodes remain permanently enlarged, though they should be non-tender, small (less the 1 cm), have a rubbery consistency and none of the characteristics described for malignancy (hard, fixed, increasing progressively in size). If it is painful or tender this indicate infection or inflammation. Nodes are generally considered to be normal if they are up to 1 cm in diameter however, some authors suggest that inguinal nodes larger than 1.5 cm should be considered abnormal They drain the penis, scrotum, vulva, vagina, perineum, gluteal region, lower abdominal wall, lower anal canal.Ībnormal Lymph node enlargement tends to commonly result from infection / immune response, cancer.Ĭommon causes of enlarged inguinal nodes include infections of the leg or foot, and STDs. The inguinal lymph nodes are situated in the crease between the leg and pelvis (more on the outside of that crease, ie, laterally). Does this seem like something to worry about? and should i maybe get a second opinion, I just want to put my mind at rest.Īlso the lymph nodes have gotten harder over the last month - the surgeon described them as "more prominent" im not sure what that means? Can someone help me? My problem is that I have had these lumps for months now and no one is giving me an answer. The surgeon told me that the results came out "unclear" and that they arent sure if they should take one out and test for cancer or leave it a few months. I underwent a lymph node biopsy with a fine needle three days ago. There is about four on my left hand side in my groin, but not as enlarged as the two on the right. I show no other symptoms, but when I had un ultrasound done of the lymph nodes, the results found that i had actually more than the two I originally found. I am a 22 y.o female who around six months ago noticed two enlarged lymph nodes in my groin on right hand side.Īfter numerous and numerous tests I underwent blood tests, X-Rays, Urine tests etc and all shown up as normal.