5 yr old child presented with swelling in neck left side ,mild pain for 2 month ,with history of fever ,sweating during night time ,palpable cervical lymph node ,no history of hearseness of voice,no history of dysphagia,.plz suggest mgmt.



Agree with dr Rao sir

Thanks Dr. Anita mam

Tuberculous lymphadenitis Investigation :Mantoux test, Sputum AFB, X Ray chest, USG neck, Rx:If it's tuberculosis, Start on ATT

Its s case of tubercular lympadenitis.

Ruled out Hodgkin's lymphomo,tbadenitis

1- it's seems to be Tuberculin Cervical LYMPHADINOPATHY with cold abscess 2- Let's first do USG- NECK of swelling followed by FNAC 3- As per pathological investigation do cbc- ESR .4- Start antibiotic preferably Augmentin - Antipyretic- NSAID 5- If FNAC suggest KOCHS start AKT. 6- Order for x-ray chest also 7- Excison biopsy may needed if not respond to conservative treatments.do pus culture-sensitivity test 8- All treatment subject to investigation.

Hodgkin lymphoma Do CBC, GBP, cervical lymph node FNAC and biopsy to confirm the dx Do bone marrow examination, X- ray chest, CT abdomen for staging of lymphoma.

It's Posterior Cervical Lymphadenopathy with Typical Symptoms of Sweating & Fever Goes in Favor of Lymphoma.... Needs FNAC, USG abdomen, CT too

Evaluate for Tb lymphadenitis

It seems to be a case of tubercular cervical lymphadinitis . ANY HISTORY OF CONTACT WITH TB?. Ddx. Hodgkins disease. ADV. CBC, ESR, MANTOUX TEST, FNAC OF THE GLAND, X-RAY OF CHEST, TREAT ACCORDINGLY AFTER DEPENDING ON REPORTS.

Thanks sir

Rule out kochs cold abscess lymphadenitis

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