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Axillary mass

  • Common ddx

    • benigh reactive lymph node (recent infection)
    • mono (fatigue, sore throat, splenomegaly)
    • lipoma (mobile, rubbery)
    • cyst
    • abscess (fluctuant)
    • hidradenitis suppurativa (discharge)
  • Serious ddx

    • lymphoma (fever, wt loss, nightsweats)
    • Hodgkin's
    • leukemia
    • HIV
  • Labs

    • CBC, Chem, ESR
    • UA
    • consider TST
    • biopsy if worried about malignancy
    • STD testing if worried about HIV
  • Other ddx

    • sarcoidosis, tularemia
  • ROS

    • fever, sick contacts, recent infection
    • wt loss, nightsweats
    • acute onset vs chronic slow-growing mass
    • pain, tenderness
    • discharge
    • dysuria, genital discharge
    • sexual history, new partners
    • animal exposure
  • Px

    • inspection: size, discharge, erythema, punctuated
    • palpate: firm, soft, rubbery, fluctuant, mobile, fixed, discharge

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    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.