MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 44-year-old woman has progressive, painless cervical and axillary lymphadenopathy with night sweats. An old positive serology result is found in her record. She is respiratorily stable.
Can the nodes be attributed to the old positive serology?
No. Past infection does not establish the current cause. Multiple nodal regions and constitutional symptoms justify a blood count and prompt diagnostic referral. Select the node and sampling technique to allow, in particular, histological assessment for lymphoma without assuming the final diagnosis.