Welcome to the American Family Physician podcast for the December 1st, 2016 issue.

I'm Jake.

I'm Brett.

I'm Kalina.

I'm Evan.

And we are residents and faculty, mostly residents,

of the University of Arizona College of Medicine Phoenix Family Medicine Residency. This time on the

podcast, we're going to talk about lymphadenopathy, cardiac rehab, rotator cuff injury, infant

infection rule out, aeroproprizole, and menopause.

We'll also wrap things up with a new special called holiday myths.

The opinions expressed in the podcast are our own

and do not represent the opinions of the American Academy of Family Physicians,

the editor of American Family Physician, or Banner Health.

Do not use this podcast for medical advice.

Instead, see your own family doctor for medical care. Our first feature article is Unexplained Ladenopathy, evaluation and differential diagnosis, from doctors Gady and Riegel from Erling-Berkwist Family Medicine Residency Program in Nebraska.

With all of the potential etiologies, lymphadenopathy can be a diagnostic challenge. Because there are so many causes, there's limited evidence to support a specific step-by-step approach.

You're absolutely right, Evan. So as we tackle unexplained lymphadenopathy, what questions come to mind?

Well, first I guess is the fact that we have lymph nodes all over. So how does location of lymphadenopathy guide us?

That's a good point. Lymph nodes drain particular areas of the body so patterns of lymphatic

drainage can often guide your history exam. Importantly, however, any superclivicular,

popliteal, or iliac lymph nodes are considered abnormal always and need to be worked up. The same is true for

epitrochlear nodes just proximal to the medial elbow that are greater than 5 millimeters.

...