Distinguish between lymphadenitis and lymphangitis.
Answers
Lymphatitis and lymph nenitis
introduction
Diagnostic Essentials
• Red streak moving from an infected area to the extended, tender regional lymph nodes.
• Cold, fever, and morbidity may exist.
general idea
Lymphanitis and lymphadenitis are often accompanied by a streptococcal or staphylococcal infection in the remote arm or leg. Stretch wound can be a superficial scratch with cellulitis, a pest bite, or an established boil. A major red streak rising toward the tender, the extended regional lymph nodes are diagnostic. Systemic manifestations include fever, cold, tachycardia, and malaise. If the treatment is not done, then infection can progress rapidly in the case of hours.
Clinical findings
A. Symptoms and symptoms
The pain of pain on the site of the stimulant wound is usually present. Malice, anorexia, sweat, cold, and fever 37.8-40 ° C develops rapidly. The red streak can initially be unconscious and miss easily, especially in dark-skin patients. The included regional lymph nodes can be significantly increased and tender.
B. Laboratory Conclusion
Leukocytosis is usually present with the left shift. Blood cultures are often positive for staphylococcal or streptococcal species. Wound culture can be helpful in treating more serious or refractive infections, but it is often difficult to explain due to skin pollutants.
differential diagnosis
Superficial thrombophalbitis is separated from the lithphanitis by the erythema pattern (deficiency of lymphadenitis) and the lack of lymphadenitis. Due to Bartonella henselae, cat-scratch disease is usually increased but the tenderer presents with lymph nodes. Lymphaticitis should be separated from cellulitis and also from severe soft tissue infections such as acute Streptococcal Hemolytic gangrene and necrotizing fasciitis require emerging debris. These infections are nonlinear and they are characterized by frequency and subcutaneous crepitus.
treatment
The extremes have increased, and hot compression is applied in the included area. Analgesic and intravenous antibiotics (Penicillin G, every 6 hours 4 million units, or sephazolin, every 8 hours 1 gram) should be installed immediately. The wound examination will determine the debris or debris of the debris and the need for drainage.
Diagnosis of disease
The primary institution of appropriate antibiotic therapy and wound care will usually control the infection in 48-72 hours. Delay or inadequate therapy may result in rapid progressive infections, septicemia and death.