Assessment
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Lymph symptoms Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Lymph symptoms. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the lymph symptoms?

    Why: to determine if acute or chronic.

  2. What lymph symptoms do you have?

    Why: e.g. swollen lymph nodes, tender lymph nodes or lymphedema (swelling especially in the subcutaneous tissues as a result of obstruction of the lymphatic vessels or lymph nodes and the accumulation of large amounts of lymph fluid in the affected area).

  3. If the lymph nodes are enlarged, are they focal or diffuse?

    Why: If enlarged lymph nodes are focal, should look for an infectious process in the area supplied by the respective lymph nodes.

  4. Medications?

    Why: Most medications may cause enlarged lymph nodes. The most notable is dilantin, but the antibiotics, aspirin, iodides and certain antihypertensive drugs can cause enlarged lymph nodes also.

  5. Sexual history?

    Why: may help in determining the risk of syphilis and HIV if generalized lymph nodes enlargement. If localized groin lymph node enlargement consider lymphogranuloma venereum (LGV), chancroid, granuloma inguinale and herpes simplex.

  6. Tick bite?

    Why: may suggest Lyme disease or localized lymph node enlargement due to reaction from the tick bite.

  7. Contact with animals?

    Why: e.g. cat scratch disease occurs between 7-14 days after a cat scratch or bite and features a small red papule at the site associated with localized lymph node enlargement; Brucellosis often occurs in workers in close contact with infected cattle or goats; toxoplasmosis results from ingestion of foodstuffs contaminated by infected cat faeces.

  8. Travel history?

    Why: overseas travelers or visitors may have special or even exotic infections e.g. West Nile fever, Lassa fever, Kala-azar, trypanosomiasis, Lymphogranuloma venereum (usually only seen following sexual exposure in East and West Africa, India, parts of Southeast Asia, South America and the Caribbean), Chancroid (usually only seen following sexual exposure in South East Asia, India or Africa), primary syphilis (rare in urban Australia but must be excluded if suspect this diagnosis, especially if there has been recent sexual contact in South East Asia).

  9. Fever?

    Why: should consider infectious mononucleosis (glandular fever), brucellosis, dengue fever, toxoplasmosis and Still's disease. If fever is absent should consider Hodgkin's disease, chronic myeloid leukemia, polycythaemia, sarcoidosis, secondary syphilis, lymphosarcoma.

  10. Generalized itch?

    Why: must consider lymphoma.

  11. Non-pitting edema (skin is not indented when compressed) of an extremity?

    Why: would suggest lymphedema (swelling especially in the subcutaneous tissues as a result of obstruction of the lymphatic vessels or lymph nodes and the accumulation of large amounts of lymph fluid in the affected area).

  12. Genital ulcers or sores?

    Why: may suggest herpes simplex infection, primary or secondary syphilis, Donovanosis, Chancroid or Lymphogranuloma venereum which may all cause enlarged groin lymph nodes.

  13. Enlarged occipital lymph nodes (back of head)?

    Why: should consider dermatitis of the scalp, head lice, cellulitis, boil, fungal skin infection or a tick bite. However glandular fever or rubella may begin with enlargement of the occipital lymph nodes.

  14. Enlarged neck lymph nodes?

    Why: must consider tonsillitis, infectious mononucleosis (glandular fever), tuberculosis, syphilis, toxoplasmosis, sarcoidosis, Hodgkin's disease and malignancy. 80% of malignancies are metastatic squamous cell carcinoma (type of skin cancer).

  15. Enlarged axillary lymph nodes?

    Why: must consider breast abscess, breast cancer, infections of the arm, tuberculosis, Hodgkin's disease.

  16. Enlarged supraclavicular lymph nodes (just above the collar bone)?

    Why: must consider lung cancer, cancer of the gastrointestinal tract, infections of the neck, arm, larynx or thyroid.

  17. Enlarged inguinal lymph nodes (groin)?

    Why: must consider infections of the leg and genitalia, cancers of the genitalia, venereal disease or melanotic sarcoma.

  18. Symptoms of Non-Hodgkin's lymphoma?

    Why: e.g. painless localized or widespread enlarged lymph nodes, sweating, generalized itch.

  19. Symptoms of Hodgkin's disease?

    Why: e.g. painless (rubbery) enlarged lymph nodes especially in the neck or axilla, malaise, weakness, weight loss, fever, drenching night sweats, generalized itch, alcohol induced in any enlarged lymph nodes.

  20. Symptoms of leukemia?

    Why: e.g. tiredness, pallor, fever, small pin-head sized bruises, weight loss, localized infections such as tonsillitis, enlarged lymph nodes, bleeding gums.

  21. Symptoms of sarcoidosis?

    Why: e.g. shortness of breath, cough, tiredness, joint pain, skin symptoms occur in 10% of cases and may include purple or brown plaques or nodules on face, nose, ears and neck in chronic sarcoidosis. Peripheral lymph node enlargement occurs in 5% of people.

  22. Symptoms of bacterial tonsillitis?

    Why: e.g. abrupt onset of sore throat, severe throat pain, extreme difficulty in swallowing, pain on talking, foul smelling breath, fever, tender enlarged lymph nodes in the neck.

  23. Symptoms of infectious mononucleosis (glandular fever)?

    Why: e.g. sore throat, fever, tiredness, poor appetite, aching muscles, skin rash, enlarged tonsils, enlarged neck lymph nodes.

Conditions listing medical symptoms: Lymph symptoms:

The following list of conditions have 'Lymph symptoms' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Lymph symptoms or choose View All.

View All A B C D E F G H I J K L M N O P Q R S T U V W X Y

Conditions listing medical complications: Lymph symptoms:

The following list of medical conditions have 'Lymph symptoms' or similar listed as a medical complication in our database.

 

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