Clinical Case: Mrs. Talbott's neck mass
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

Possibilities?
  • Infectious  versus neoplastic.
  • Possible sources?
    • Lymph node.
    • Salivary gland tissue.
    • Soft tissue mass (lipoma, neuroma).
    • Developmental cyst that has just now become evident.
  • History of lethargy?
    • Can occur with either chronic infections or neoplasia.
    • Labs indicate an anemia.
    • What about the elevated LDH on her chem profile?
There is no clear pattern, we need to see cells from the mass.

Mrs. Talbott, we need to perform a needle aspirate.         Back

 

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