Page 2 of 2: A 30 yr. Old patient presents with asymptomatic doughy soft

Akil · Credits: 28144 My Scrapbook

Where is this question from?

doughy is a word that is associated with osteomyelitis of frontal sinus, dermoid cyst and lipoma....apart from others.

I dont have the time now to do a thorough workup due to other more pressing commitments and my initial workup in this regard is unsatisfactory.

Regards,
Akil

kalika · Credits: 12507 My Scrapbook My Reading List 12 Books

this Q is frm very old aipg/AIIMS papers..

so akil acc to u ..ans shud be none..

Akil · Credits: 28144 My Scrapbook

Akil · Credits: 28144 My Scrapbook

I have another clarification to make....

In hodgkins clinical staging...what does 'A' and 'B' mean...?

I guess this will give an entirely new view to this question.

Another important aspect to note here is that actinomycosis is always indurated...in the early stages showing central softening later but the induration still persisting the periphery. And it is known fact that these proceed to form draining sinuses. And still remind you all that actinomycotic swelling is a soft tissue swelling and DOES NOT involve the lymph glands like other infections.

As docsa has already queried, the swelling when it changes size on infection is a pointer that denotes that it is a lymph gland swelling. for the welling to be actinomycotic the patient must have mistaken the soft tissue swelling that was chronic and the new lymph gland swelling to be the same. this clinical scenario though might occur, because the chances of that occuring are quite less.

So..I feel this is a lymph node swelling in Hodgkin's Disease and that it is ASYMPTOMATIC denotes a clinical sub-staging 'A' (A for symptoms Absent)

Age predeliction is bimodal in distribution 20-34 yrs (corroborating with our case!) and 50-64 yrs in Africans, >70 in whites. etc The age also shifts more into childhood in Japan (source: emedicine)
Definite Male sex predeliction is seen.(though here we are nto told of the sex of the patient!)

Regards,

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