#202 LIVE! Lymphadenopathy: Taking Your Lumps

Published: March 30, 2020, 7 a.m.

LIVE! from Mayo Clinic, a practical approach to lymphadenopathy with Carrie Thompson MD @cathompsonmd (Hematology Oncology, Mayo Clinic). Dr. Thompson provides her simplified approach to the history, differential diagnosis, high yield lab testing, imaging, how to counsel patients with adenopathy and tips on when, where and how to biopsy!

 

Special Thanks!

The Curbsiders are insanely grateful to the Mayo Clinic  Internal Medicine Residency Chief Residents @mayomn_imres (@JasonEckmannMD @SamiRyanMD @BHuffmanMD @CourtHarrisMD) and their amazing program director @AmyOxentenkoMD for an amazing trip to Rochester! 

 

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Credits
  • Written and Produced by: Carrie Thompson MD and Matthew Watto MD, FACP
  • Infographic: Matthew Watto MD, FACP
  • Cover Art: Kate Grant MBChB DipGUMed
  • Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  • Guest: Carrie Thompson MD

 

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[  ] A half page on why you’d make a great Curbsider

[  ] A copy of your CV

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Time Stamps
  • 07: 00 Lymphatic system
  • 09:19 Differential diagnosis for lymphadenopathy
  • 11:38 Taking a history (ALL AGES mnemonic), Red Flags

  • 19:15 Physical exam for lymphadenopathy
  • 22:30 Which labs to order; Flow cytometry
  • 26:05 Imaging
  • 
28:30 Counseling patients with LAD

  • 31:10 Biopsy: How to choose type and location

  • 37:35 Take Home Points
  • 39:00 Audience Questions

  • 42:25 Outro

 

 

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Goals

Listeners will develop a framework and systematic approach to evaluating the patient with lymphadenopathy. 

 

Learning objectives

After listening to this episode listeners will...

  1. Describe differential diagnosis of enlarged lymph nodes.
  2. Summarize the evaluation of lymphadenopathy.
  3. Identify the most appropriate type and timing of lymph node biopsy.

 

Disclosures

Dr Thompson reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

 

Citation

Thompson C, Williams PN, Brigham SK, Watto MF. “#202 LIVE! Lymphadenopathy: Taking Your Lumps”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. March 30, 2020.