Adequate training of Lady Health Visitors is foundational for the prosperity of community health worker scheme in Pakistan.Objective: To determine the deficiencies in the training Lady Health Visitors by assessing their knowledge and psychomotor skills.Study Design: Cross -sectional study. Study Duration and Place:The study was conducted in 6 -month duration in Community Medicine Department, KEMU, Lahore. Subjects and Methodology:A cross -sectional study was carried out at Model Maternal and Child Care Centre, Montgomery Road, Lahore. A total of 100 Lady Health Visitors were selected on the basis of laid down inclusion criteria. Data was collected through a pretested questionnaire and analyzed by SPSS version 1 MHPE (UHS) Lahore PG Student

ABSTRACT... Background: Enlarged lymph glands almost always represent a local or systemic disease that may be benign or malignant. We see many patients including the referred ones in our OPD clinic and subsequently do the excision of quite a big proportion of the enlarged glands especially the cervical glands. Study Design: Descriptive study. Setting: Retrospect by reviewing the operative and histopathology department of King Edward Medical University. Period: April 2016 to April 2017. Methods: We will analyse the record of 121 patients who had peripheral lymph gland enlargement and presented to us. Results: Ours results show that the mean age of our patients was 25.03±18.06 years. We found that 40% of our patients had a definitive diagnosis from the histopathology of excised lymph nodes while 35.5% of the patients had reactive hyperplasia and 25% of the patients had inconclusive results and we were unable to help them. Conclusion: Our results conclude that the lymph nodes are a very good source of getting the diagnosis especially the cervical lymph nodes with a diagnostic yield of 76.4% and we may need to have a more robust criteria for excising the peripheral lymph glands in order to improve the diagnostic yield from 40%. Key words:Lymph Node, Cervical, Axillary, Inguinal, Diagnostic Yield. Article Citation: Farooq MS, Qamar S, Anjum MR, Altaf R, Farooq MA. Peripheral lymph glands; Are we justified in taking these out for histopathology in our patients? Professional Med J 2017;24(10)

Background: Enlarged lymph glands almost always represent a local or systemicdisease that may be benign or malignant. We see many patients including the referred onesin our OPD clinic and subsequently do the excision of quite a big proportion of the enlargedglands especially the cervical glands. Study Design: Descriptive study. Setting: Retrospectby reviewing the operative and histopathology department of King Edward Medical University.Period: April 2016 to April 2017. Methods: We will analyse the record of 121 patients who hadperipheral lymph gland enlargement and presented to us. Results: Ours results show that themean age of our patients was 25.03±18.06 years. We found that 40% of our patients had adefinitive diagnosis from the histopathology of excised lymph nodes while 35.5% of the patientshad reactive hyperplasia and 25% of the patients had inconclusive results and we were unableto help them. Conclusion: Our results conclude that the lymph nodes are a very good source ofgetting the diagnosis especially the cervical lymph nodes with a diagnostic yield of 76.4% andwe may need to have a more robust criteria for excising the peripheral lymph glands in order toimprove the diagnostic yield from 40%.