Weight loss, fever, fatigue, cervical and mediastinal ...

[Diane]

Weight loss, fever, fatigue, cervical and mediastinal lymphadenopathy are often the presenting signs of:
 
  A. Hypothyroidism
  B. Scleroderma
  C. Esophageal cancer
  D. Lymphoma

Question 2

A patient presents with extremely tight, shiny skin over the hands and face. There is also a lack of nasolabial folds and blank facial expression. This is a common sign of:
 
  A. Bell's palsy
  B. Trigeminal neuralgia
  C. Scleroderma
  D. Hypothyroid myxedema

[juiceman1987]

Answer to Question 1

ANS: D
Cervical and mediastinal lymphadenopathy are often the presenting complaints of lymphoma and generally precede systemic symptoms, which include fever, night sweats, weight loss, and fatigue.

Answer to Question 2

ANS: C
Scleroderma is an autoimmune disease that causes infiltration of the skin with autoantibodies and immune complexes. Signs include extremely shiny and taut skin over the face, hands, and feet.

[Diane]

Excellent

[kthug]

Thanks for the timely response, appreciate it