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Suggest treatment for swollen lymph nodes in neck

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Posted on Thu, 12 May 2016
Question: my 37 year old son has had swollen lymph nodes in the neck for 3 months.his blood work has all come back ok. what further tests should he have
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Answered by Dr. Bonnie Berger-Durnbaugh (24 minutes later)
Brief Answer:
Here are some tests that should be considered:

Detailed Answer:
Hello and welcome,

I am sorry you has been having chronic cervical lymphadenopathy (swollen lymph nodes in the neck for more than 3 weeks).

I don't know what blood work has already been done, but here are some blood tests that should be considered:

Complete blood count and differential, with pathology to look at peripheral smear.

Lactate dehydrogenase (LDH) and uric acid

B henselae (catscratch) serology if exposed to a cat

Tuberculosis skin test (TST) and interferon-gamma release assay (eg, Quantiferon Gold)

Liver function and renal function blood tests

Epstein Barr virus, CMV, and Toxoplasma serology (usually there is generalized lymph node swelling so these tests may be less important)

HIV

A chest Xray should be done.

A lymph node aspirate may be considered.

An ultrasound of the nodes may be considered.

What tests are done should be guided by the rest of his history and exam.

I hope this information helps.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3138 Questions

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Suggest treatment for swollen lymph nodes in neck

Brief Answer: Here are some tests that should be considered: Detailed Answer: Hello and welcome, I am sorry you has been having chronic cervical lymphadenopathy (swollen lymph nodes in the neck for more than 3 weeks). I don't know what blood work has already been done, but here are some blood tests that should be considered: Complete blood count and differential, with pathology to look at peripheral smear. Lactate dehydrogenase (LDH) and uric acid B henselae (catscratch) serology if exposed to a cat Tuberculosis skin test (TST) and interferon-gamma release assay (eg, Quantiferon Gold) Liver function and renal function blood tests Epstein Barr virus, CMV, and Toxoplasma serology (usually there is generalized lymph node swelling so these tests may be less important) HIV A chest Xray should be done. A lymph node aspirate may be considered. An ultrasound of the nodes may be considered. What tests are done should be guided by the rest of his history and exam. I hope this information helps.