A 19-Year-Old with Fever and Tender Neck Nodes
A 19-year-old woman has three weeks of painful neck swelling, then fever, drenching night sweats, joint and tendon tenderness and a low white-cell count, and broad-spectrum antibiotics change nothing. Work through the case one finding at a time, with fourteen multiple-choice checkpoints covering the infectious, malignant and rheumatic differentials, the clues in the blood tests and imaging, what the biopsy has to show, and what the diagnosis means for her future.