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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Swollen Occipital Lymph Nodes, Pain In Back Of Skull, Neck Pain, Abdomen Pain

I have painful swollen occipital lymph nodes, a swollen lymph node behind my ear (not painful), pain at the back of my skull (approximately even with the top of my ear but about 2" toward the center), neck pain, fever 100.6 and pain on my left upper abdomen (right under the lower part of my ribs on left side toward my back). 44 Y Female
Mon, 11 Nov 2013
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ENT Specialist,  's  Response
Hello

Welcome in H.C.M.

I have gone through your query regarding painful lump on the occipital region along with pain on scalp, back of neck, chest and abdomen.

Since you have fever also therefore these lumps are supposed to be acute lymphadenitis. You have one node behind your ear which is painless while all others are painful , thus now it becomes necessary to find out the real pathology going on. Here you are advice for these investigation -

1- FNAC from lump.

2- Blood- CBC, ESR, Blood sugar (F & PP).

3- On aspiration from lump if pus comes out than C & S of it.

These above investigations will guide us about possibilities and after that a clinical examination and their co-relation will disclose the diagnosis.

Once the diagnosis is established than treatment may be plan.

Regards.
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Painful Swollen Occipital Lymph Nodes, Pain In Back Of Skull, Neck Pain, Abdomen Pain

Hello Welcome in H.C.M. I have gone through your query regarding painful lump on the occipital region along with pain on scalp, back of neck, chest and abdomen. Since you have fever also therefore these lumps are supposed to be acute lymphadenitis. You have one node behind your ear which is painless while all others are painful , thus now it becomes necessary to find out the real pathology going on. Here you are advice for these investigation - 1- FNAC from lump. 2- Blood- CBC, ESR, Blood sugar (F & PP). 3- On aspiration from lump if pus comes out than C & S of it. These above investigations will guide us about possibilities and after that a clinical examination and their co-relation will disclose the diagnosis. Once the diagnosis is established than treatment may be plan. Regards.