02-21-2015, 10:26 PM
An otherwise healthy 17-year-old complains of swollen glands in his neck and groin for the past 6 months and an increasing cough over the previous 2 weeks. He also reports some fevers, especially at night, and possibly some weight loss. On examination, you notice that he has nontender cervical, supraclavicular, axillary, and inguinal nodes, no hepatosplenomegaly, and otherwise looks to be fairly healthy. Which of the following would be the appropriate next step?
a. Biopsy of a node
b. CBC and differential
c. Trial of antituberculosis drugs
d. Chest radiograph
e. Cat-scratch titers
a. Biopsy of a node
b. CBC and differential
c. Trial of antituberculosis drugs
d. Chest radiograph
e. Cat-scratch titers