Lymphadenopathy and organomegaly: diagnostic approach — OSCE

Station brief (candidate)

• Explain that enlarged nodes are common after infection and usually reactive. ^{[1] [2]}
• Take focused history: duration, growth of lump, fever, night sweats, weight loss, bruising, animal scratches, TB risk, sore throat, fatigue. ^{[1] [5]}
• Outline examination priorities: all node stations, ENT/skin source, liver and spleen. ^[1]
• Agree observation versus investigation criteria and a review time. ^[4]
• If EBV/spleen cue appears, counsel activity restriction principles. ^[3]
• Use teach-back; avoid false reassurance and avoid catastrophic language.