Treatment of Lymphoma's questions with verified answers (graded A+)

Chest x-ray: large mediastinal mass - Answers-Suspect a diagnosis of lymphoma, refer to a surgeon for excisional biopsy of cervical lymph node (FNAB sufficient). Pathology shows Classical Hodgkin lymphoma, nodular sclerosing subtype. What should you look for in the history (if lymphoma is suspected? - Answers-HISTORY — History of the lymph node — when it first appeared, rapidity of growth, any pain — B-symptoms (weight loss, fever, night sweats) — Pruritus, lymph node pain with alcohol — HIV risk factors (autoimmune problems?) — Shortness of breath, abdominal pain, superior vena cava obstruction, etc. -- > clues as to where the lymph node is What should you look for in the physical exam (if lymphoma is suspected? - Answers-PHYSICAL EXAM — Full lymph node exam. Describe: number, size, location (contiguous or not?) consistency (rubbery vs firm), mobility, tender/non-tender.