 [ Symptoms ] we have this patient who is veins on upper and lower extremities are no longer accessible due to multiple peripheral insertion [ Disease ] hi lymph node enlargement for more than 4 months has to be due to some reason chest pain may be due to some pathological infective lesion inside the lungs you should get a chest xray and a hrct chest to come to a diagnosis consult a chest physician get complete blood count done to see for any derangements thanks