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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen And Painful Lymph Node Under Arm. Knot On Back Of Neck. Related Symptoms?

Lymph node under right arm has been swollen and painful when I move my arm or touch it. Has been this way for a year now, went away for a month then recently came back. Today I noticed a marble sized knot on back of neck , top of trapezoid muscleIt it is sore to the touch. I do not know what any of this could be or if they are related. Please help I am very worried and do not have medical insurance to get this checked out
Wed, 14 Nov 2012
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General & Family Physician,  's  Response
Dear Concerned.,





Welcome to Healthcare Magic.


Thanks for writing to us.


Through history you have indicated the duration of symptoms as 01 year indicates that it is a Chronic lesion/any infection long standing/caries tooth/family history of pulmonary kochs/evening rise of temperature regularly/loss of appetite and loss of weight.


The probabalities include infections such as Kochs/lymphomas ? Hodgkins(? Remote Possibility)


Whether the above history is positive in your case or not.,


Your family doctor may be requested to alter the protocol as follows ,


by first doing (a)Routine Hemogram (b)Urinalysis (c)X-RayChest PA View (d)Neck X-ray AP (top of Trapezoid Area)and Lateral to know any bony extension of lesion. Last but the pointer "The gold standard for investigating" the above is,


(e) by doing a FNAC(Fine Needle Aspiration Cytology) in a Pathology centre and consult a general Surgeon with pathologist's reports.HPE report is the finall and binding.You may request for the slide and take a second pathologist's opinion also.





Get well soon,





Best Regards,





Dr Lt Cdr ASN Bhushan.
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Swollen And Painful Lymph Node Under Arm. Knot On Back Of Neck. Related Symptoms?

Dear Concerned., Welcome to Healthcare Magic. Thanks for writing to us. Through history you have indicated the duration of symptoms as 01 year indicates that it is a Chronic lesion/any infection long standing/caries tooth/family history of pulmonary kochs/evening rise of temperature regularly/loss of appetite and loss of weight. The probabalities include infections such as Kochs/lymphomas ? Hodgkins(? Remote Possibility) Whether the above history is positive in your case or not., Your family doctor may be requested to alter the protocol as follows , by first doing (a)Routine Hemogram (b)Urinalysis (c)X-RayChest PA View (d)Neck X-ray AP (top of Trapezoid Area)and Lateral to know any bony extension of lesion. Last but the pointer The gold standard for investigating the above is, (e) by doing a FNAC(Fine Needle Aspiration Cytology) in a Pathology centre and consult a general Surgeon with pathologist s reports.HPE report is the finall and binding.You may request for the slide and take a second pathologist s opinion also. Get well soon, Best Regards, Dr Lt Cdr ASN Bhushan.