15 doctors weighed in:
27 y/o female with 4 days history of fever, night sweats, headache, generalized painful lymphadenopathy, fatigue, elevated liver enzymes? Mono neg
15 doctors weighed in

Dr. Peter Kurzweil
Internal Medicine
9 doctors agree
In brief: Guess u want DDx
Ddx=differential diagnosis involves the most important, under-used, under-appreciated, under-paid, complex tool a physician has: a trained/experienced mind, fueled by a good heart, driven by a mission to help others.
Excellent history (listen!), careful physical exam leads to the answer, or at least to next step.?Viral illness?Drug reax. Rest, fluids, wait 2 wks; persists? Work up further.

In brief: Guess u want DDx
Ddx=differential diagnosis involves the most important, under-used, under-appreciated, under-paid, complex tool a physician has: a trained/experienced mind, fueled by a good heart, driven by a mission to help others.
Excellent history (listen!), careful physical exam leads to the answer, or at least to next step.?Viral illness?Drug reax. Rest, fluids, wait 2 wks; persists? Work up further.
Dr. Peter Kurzweil
Dr. Peter Kurzweil
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1 comment
Dr. Albert Pizzo
What a thoughtful and eloquent response. I hope this reaches everyone at Healthtap.
Dr. David Masiello
Internal Medicine - Hematology & Oncology
4 doctors agree
In brief: Other infections
Check HIV CMV also consider fungal infections if you are in one such area in the country.
If there is an easily assessable lymph node get a core bx, fna is inadequate.

In brief: Other infections
Check HIV CMV also consider fungal infections if you are in one such area in the country.
If there is an easily assessable lymph node get a core bx, fna is inadequate.
Dr. David Masiello
Dr. David Masiello
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Dr. Madhu Kandarpa
Internal Medicine - Nephrology & Dialysis
2 doctors agree
In brief: Viral Vs lymphoma
Possibly viral illness; other differential is lymphoma eventhough duration is short.
Other differential depending on history - hiv, tb.

In brief: Viral Vs lymphoma
Possibly viral illness; other differential is lymphoma eventhough duration is short.
Other differential depending on history - hiv, tb.
Dr. Madhu Kandarpa
Dr. Madhu Kandarpa
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Dr. Gutti Rao
Internal Medicine - Hospital-based practice
2 doctors agree
In brief: Bacterial infections
Looks acute- any associated pharyngitis? To look for other rare causes TB / lymphomas.

In brief: Bacterial infections
Looks acute- any associated pharyngitis? To look for other rare causes TB / lymphomas.
Dr. Gutti Rao
Dr. Gutti Rao
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Dr. Elizabeth Yen
Pediatrics - Gastroenterology
In brief: Viral
Consider adenovirus, enterovirus, influenza, and hepatitis a, b, and c.
Follow liver enzymes and check pt and bili. Recommend no acetaminophen. Monitor to ensure liver damage does not escalate to failure. Consult local transplant center if pt develops liver failure.

In brief: Viral
Consider adenovirus, enterovirus, influenza, and hepatitis a, b, and c.
Follow liver enzymes and check pt and bili. Recommend no acetaminophen. Monitor to ensure liver damage does not escalate to failure. Consult local transplant center if pt develops liver failure.
Dr. Elizabeth Yen
Dr. Elizabeth Yen
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Dr. Arnon Rubin
Board Certified, Internal Medicine
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