Physiological Adaptation Q 13

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Mario comes to the clinic complaining of fever, drenching night sweats, and unexplained weight loss over the past 3 months. Physical examination reveals a single enlarged supraclavicular lymph node. Which of the following is the most probable diagnosis?

  

     A. Influenza

     B. Sickle cell anemia

     C. Leukemia

     D. Hodgkin’s disease

    

    

Correct Answer: D. Hodgkin’s disease

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Hodgkin’s disease typically causes fever night sweats, weight loss, and lymph node enlargement.

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Option A: The incubation period ranges from 1 to 4 days. Peak virus shedding usually occurs from 1 day before the onset of symptoms to 3 days after.

Option B: Clients with sickle cell anemia manifest signs and symptoms of chronic anemia with pallor of the mucous membrane, fatigue, and decreased tolerance for exercise; they don’t show fever, night sweats, weight loss or lymph node enlargement.

Option C: In some cases, the signs of leukemia may include noticeable swelling of the neck, armpit, or groin. This occurs when leukemia has spread to the lymph nodes.

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