16 1 / 2012

  • Should not be present after 1y of age
  • If present, consider systemic immunocompromise (HIV, syndrome, etc)

09 12 / 2011

  • EBV/viral (send monospot, EBV titers)
  • HIV
  • Reactive LAN
  • Tuberculosis
  • Neoplasm (leukemia/lymphoma)
  • Toxoplasmosis
  • Cat-Scratch Disease

28 11 / 2011

Ask About:

  • Alcohol
  • Diabetes
  • HIV
  • Heavy Metals
  • Syphillis

Carpal Tunnel

  • Association with pregnancy, hypothyroid, DM, renal failure, acromegaly, steroid use
  • Weakness of thumb adduction, thenar atrophy
  • Median nerve distribution pain
  • Place in splint with NSAIDs

From Critical Decisions June 2010