Local infection or trauma causing the adenopathy should be searched for carefully.
Whenever there is evidence of generalized adenopathy, these groups should be uated carefully.
Bilateral cervical adenopathy is also prominent in tuberculosis coccidioidomycosis infectious mononucleosis toxoplasmosis sarcoid lymphomas and leukemias.
Abdominal adenopathy is usually rated by computerized abdominal tomography, gallium scanning, ultrasonography, or lymphangiography.
They may be associated with pruritus dysuria vaginal discharge and tender regional adenopathy.
Concomitant epitrochlear axillary and supraclavicular adenopathy should raise the question of cat-scratch fever.
Inguinal adenopathy can also be part of systemic processes such as lymphoma or leukemia.