Fever, Night Sweats, and Weight Loss

Peter W. Marks, MD

Yale University School of Medicine, New Haven, CT

Copyright of the American Society of Hematology, 2012. ISSN: 1931-6860.



General: Thin female in no acute distress. Height 170 cm (67”), weight 46 kg (101 lbs)
Vitals: T 37oC (98.6oF), P 95, BP 94/64, RR 16
Skin: No lesions noted
HEENT: The oropharynx benign. Mucous membranes are moist
Neck: Supple
Nodes: A 1 x 2.5 cm non-tender, firm, mobile lymph node is noted in the upper right anterior cervical chain. No other lymphadenopathy is palpable
Pulm: Unlabored respiration, clear to auscultation and percussion bilaterally
CV: Normal S1, S2, regular, no murmurs
Abd: Soft, non-tender, non-distended, without organomegaly or mass appreciated
Extr: Warm, well perfused, no edema
Neuro: Alert and oriented to person, place, and time. No motor or sensory defects

What additional information would you request at this time?

Laboratory Data
Radiologic Studies
Fine needle aspirate of the enlarged lymph node

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