사타구니/서혜부 림프절 통증으로 내원하였으나.. 혈압의 확인.. 몇년간 알고 있었으나.. - 동대문구 답십리, 전농동, 우리안애 우리안愛 내과

40대 초반 여자, 초진 아래 글등을 읽고 방문 https://blog.naver.com/ejercicio/223135689706

서혜부 한쪽이 만지면 아프다. 작게 만져지면서...

산부인과 초음파 등 시행하고 분비물에 대해 처방받고 옴

오랫동안 부부관계는 없었으며... (STD, 성병 관점의 질문)

우선 산부인과 문제가 있다면 추적하도록 함

그런데,

병원 자동 혈압 163/102

진료실 수동 혈압 186/120

3년전부터 높았다고 하며...

원내 혈압도 차이가 나서 가정혈압계 안내하고 1~2주뒤 추적하기로 함

수일뒤 방문

가정 혈압이 165 이상

진료실 수동 혈압은 166/108로 백의고혈압은 없으며 .. 혈압이 높은것으로 판단하여 투약 시작함

서혜부는 괜찮아졌다고 확인

혈압약 투약 후 혈액 평가 계획이며 약제 조절 계획

(서혜부 림프절은 주로 비뇨기과/산부인과를 먼저 방문해주세요. 대부분의 관련 질환들이 그 과에 해당하기 때문입니다.)

Lymphadenopathy

Inguinal lymphadenopathy is a nonspecific finding (비특이적인 소견) that is characteristic of inflammatory pathology almost anywhere in the groin or either lower extremity. It may also be a manifestation of systemic disease, such as HIV infection (HIV감염), tuberculosis (결핵), or lymphoma (림프종). It often accompanies genital infection (생식기감염). Although the inguinal and femoral lymph nodes drain the genital region in both men and women, the inner segment of the vagina and the cervix drain into deep pelvic and perirectal lymph nodes. Anorectal lymph drainage (항문직장부위 병변) patterns are also complex and depend on whether infection occurs above or below the dentate line (the mucocutaneous junction in the rectum) In either case, if pelvic lymph nodes are involved in inflammatory genital pathology, pelvic or rectal discomfort may be the most striking symptom.

Bilateral inguinal lymphadenopathy (양측 림프절 병변) is typical in syphilis (매독). Like the chancre of primary syphilis, it is usually painless (통증이 없는). In secondary syphilis, as befitting a systemic process, lymphadenopathy distant from the genital area is common. Typically, the inguinal, axillary, cervical, and epitrochlear nodes are involved.54 Lymphadenopathy associated with a herpetic genital lesion (헤르페스) is usually bilateral (양측) and, like the lesion, also is tender (압통이 있는). In HSV infection and in syphilis, lymphadenopathy persists for some time after resolution of the lesion.

LGV and chancroid are characterized by expansive, tender lymph nodes called buboes. These may be unilateral or bilateral. A central area of fluctuance often develops; if left untreated, it eventually spontaneously ruptures. Although drainage may be spontaneous, tenderness can become sufficiently severe to warrant intervention and drainage. Lymphadenitis is unusual in granuloma inguinale.