Jennifer experienced fever and palpable cervical nodes. This means she could have an infection as a result her tonsils. The infection could have led to lymphadenopathy. Since most patients that contract lymphadenopathy experience localized lymphadenopathy, Jennifer most likely has localized lymphadenopathy. "Distinguishing between localized and generalized lymphadenopathy is important in formulating a differential diagnosis. In primary care patients with unexplained lymphadenopathy, approximately three fourths of patients will present with localized lymphadenopathy and one fourth with generalized lymphadenopathy" (Ferrer, 2015, p. 1).
Palpable nodes are often swollen nodes that can be a result of an infection. Because her fever climbed over time and stayed relatively high, Jennifer may be experiencing acute infection since her patient history revealed no signs of previous disease. Causes for lymphadenopathy are often obvious.
"The cause of lymphadenopathy is often obvious: for example, the child who presents with a sore throat, tender cervical nodes and a positive rapid strep test, or the patient who presents with an infection of the hand and axillary lymphadenopathy" (Ferrer, 2015, p. 1). Tenderness on the left side also shows something possibly wrong from the side of the esophagus. The thoracic duct lies on the left side.
GERD or Gastroesophageal reflux disease may be responsible for the infection Jennifer experienced...
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