[50M] With swollen lymph nodes, red and cold hands, and potential blood clot

Patient Description

A 50-year-old male presents with swollen lymph nodes in the armpit area, described as soft and balloon-like, without tenderness. The patient has also been experiencing redness in the hands with cold and numb fingers, which may be related to carpal tunnel syndrome. Additionally, there is a report of a heavy and full sensation in the head, weakness in the arms, and difficulty holding up a phone. The patient has been mostly bedridden due to these symptoms. A recent weight gain and bloated feeling have been noted, along with a fungal infection in the groin area from three months ago. The patient also reports a dull ache in the lower left leg near the shin, which has been present for a month or two and has recently worsened, raising concerns about a potential blood clot. The patient uses chewing tobacco and takes melatonin and Benadryl daily. No known allergies, no significant past medical history, and no family history of similar symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Lymphadenopathy: This is a condition characterized by swollen lymph nodes. It can be caused by a variety of conditions, including infections, autoimmune diseases, and cancers such as lymphoma.

    • Further testing would be required to confirm this diagnosis, such as a physical examination, blood tests, imaging studies, or possibly a biopsy of the lymph nodes.
  • Carpal Tunnel Syndrome: This is a condition that causes numbness, tingling, or weakness in the hand due to pressure on the median nerve in the wrist. Your description of red, cold hands and fingers could be related to this condition.

    • Treatment typically involves wrist splinting, avoiding activities that worsen symptoms, and taking over-the-counter pain relievers. Severe cases may require surgery.
  • Peripheral Vascular Disease: This is a circulation disorder that affects blood vessels outside of the heart and brain. It often causes pain, swelling, or numbness in the legs, and can sometimes cause skin changes such as redness or coldness.

    • Treatment typically involves lifestyle changes, medications to control symptoms and prevent complications, and sometimes surgery.
  • Terry's Nails: This is a condition where the nails appear white with a characteristic "ground glass" appearance. It can be associated with aging, liver disease, congestive heart failure, or diabetes.

    • Treatment involves addressing the underlying condition, if one is present.

Please note that these are potential explanations for your symptoms based on the information you provided, and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible to discuss your symptoms. They may refer you to a specialist, such as a hematologist or vascular surgeon, for further evaluation and treatment.
  2. Keep track of your symptoms and any changes, as this information can be helpful to your healthcare provider.
  3. Continue to take your prescribed medications as directed by your healthcare provider.
  4. If your symptoms worsen or you develop new symptoms, such as severe pain, difficulty breathing, or changes in consciousness, seek immediate medical attention.

What you should look out for

Watch for the following signs and symptoms, which could indicate a more serious condition:

  • Increased swelling or pain in your lymph nodes
  • Changes in the color or temperature of your hands or legs
  • Increased weakness or numbness in your arms or legs
  • Difficulty breathing or chest pain
  • Changes in your nails or skin
  • Unexplained weight loss, night sweats, or fever

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago


People Also Ask


What could cause swollen lymph nodes in the armpit area?

Swollen lymph nodes in the armpit area, known as lymphadenopathy, can be caused by infections, autoimmune diseases, or cancers such as lymphoma. Diagnosis may involve a physical examination, blood tests, imaging studies, or a biopsy.


How is carpal tunnel syndrome diagnosed and treated?

Carpal tunnel syndrome is diagnosed through a physical examination, patient history, and sometimes nerve conduction studies. Treatment includes wrist splinting, avoiding aggravating activities, pain relievers, and in severe cases, surgery.


What are the symptoms and treatment options for peripheral vascular disease?

Peripheral vascular disease symptoms include pain, swelling, or numbness in the legs, and skin changes. Treatment involves lifestyle changes, medications to manage symptoms and prevent complications, and sometimes surgery.


What are the potential risks of using chewing tobacco?

Chewing tobacco can increase the risk of oral cancers, gum disease, tooth decay, and nicotine addiction. It can also contribute to cardiovascular issues and other health problems.

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