5y/m patient cervical lymphoid scan attached give rx & dx

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Significant cervical lympahdinopathy Adv LN Biopsy Dx Koch's Lymphoma (hodkins or non hodkins) IMN Atypical mycobacterial

Cervical lymphadenopathy D/D- Tuberculosis Lymphoma IMN HIV Secondary- Metastatic. Suggest- R/O Inguinal & axial Lymphadenopathy HIV, Chest X-ray, USG abdomen Blood profile with PBS. Videolaryngoscopy. Thorough ENT evaluation for Primary tumor.

Dx : CERVICAL LYMPHADENOPATHY. WORK UP WITH : FNAC. GASTRIC ASPIRATE FOR CBNAAT. ESR. MX TEST. CXR. HISTORY OF CONTACT IS IMPORTANT. DX : T.B. LYMPHADENOPATHY. D/D : LYMPHOMA. R/O : ALL.

Do mantoux cbnaat cbc esr chest xray rule out Tb infective pathology streptococcal staphyococal etiology

History of the patient sir ?? Onset, any fever, cough, weight loss , organomegaly

CBC, Biopsy,Mx test,FNAC. Rule out inf., Koch's.

I agree with Dr A Karim

Chest x _Ray n MX _Test

Antibiotics for seven days, (amoxiclav) if no response --cbc, TT, fnac

Koch's lympadenitis

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