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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is A Small Nodule In Posterior Cervical Lymph Node Suggestive Of?

Hello doctor My mom has a small nodule in posterior cervical lymph node,just one and it s tender ,not hard and her ESR is 95 ,WbC s and all other cells are normal , there is no history of fever weight loss, lethargy etc What could this be indicating??? p.s She is on medications for her joint pain and vitamin D tablets and she is hypertensive and takes amlodipine besylate
posted on Sat, 20 Aug 2016
Twitter Mon, 26 Sep 2016 Answered on
Twitter Tue, 27 Sep 2016 Last reviewed on
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General & Family Physician,  's  Response
Neck lymph nodes are usually enlarged due to local infection. These nodal swellings usually take time to resolve completely even after clearance of infection.
Advice
1.     Hot fomentation with slight warm water every 6 hours
2.     Amoxicillin 500 mg every 8 hours per oral daily for 7 days
3.     Ibuprofen 600 mg per oral after meal if pain occurs
4.     Investigation – CBC and Hb%
If after 7 days course of amoxicillin, your mother’s neck swelling does not resolve then get done Fine Needle Aspiration Cytology (FNAC) of enlarged lymph node.
Thanks
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What Is A Small Nodule In Posterior Cervical Lymph Node Suggestive Of?

Neck lymph nodes are usually enlarged due to local infection. These nodal swellings usually take time to resolve completely even after clearance of infection. Advice 1. Hot fomentation with slight warm water every 6 hours 2. Amoxicillin 500 mg every 8 hours per oral daily for 7 days 3. Ibuprofen 600 mg per oral after meal if pain occurs 4. Investigation – CBC and Hb% If after 7 days course of amoxicillin, your mother’s neck swelling does not resolve then get done Fine Needle Aspiration Cytology (FNAC) of enlarged lymph node. Thanks