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Lymph nodes examination

Lymph nodes examination. Wail Alamoudi. Classification . Head & neck and clavicle UL (axillary , epitrochlear) LL (inguinal , femoral and popliteal) Abdomen ( paraaortic , liver and spleen ). Head & neck and clavicle. There are approximately 300 lymph nodes in the neck.

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Lymph nodes examination

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  1. Lymph nodes examination • Wail Alamoudi

  2. Classification • Head & neck and clavicle • UL(axillary , epitrochlear) • LL (inguinal , femoral and popliteal) • Abdomen( paraaortic , liver and spleen )

  3. Head & neck and clavicle • There are approximately 300 • lymph nodes in the neck

  4. Head & neck and clavicle Inspection : Open mouth and see the • Tonsils • Adenoids (pharyngeal tonsils)

  5. Perauricular • Posterior auricular • Occipital • Submandibular • Submental • Tonsillar • Anterior cervical • Posterior cervical • Deep cervical • Supraclavicular Palpation

  6. Examination of the Neck • Perauricular: in front of the tragus of ear • Posterior auricular: behind ear • Occipital: at base of skull

  7. Examination of the Neck • Submandibular • Submental • Tonsillar: at angle of mandible

  8. Anterior cervical: superficial to the sternocleidomastoid • Posterior cervical: along anterior edge of the trapezius • Deep cervical : lies below the sternomastoid and cannot be palpated without getting underneath the muscle • Supraclavicular

  9. The deep cervical chain of lymph nodes • Inform the patient that this procedure will cause some discomfort. • Hook your fingers under the anterior edge of the sternomastoid muscle. • Ask the patient to bend their neck toward the side you are examining. • Move the muscle backward and palpate for the deep nodes underneath

  10. Axillary LN

  11. central lymph nodes • pectoral axillary lymph nodes (or "anterior") • subscapular axillary lymph nodes (or "posterior") • apical lymph nodes (or "medial" or "subclavicular") • brachial lymph nodes (or "lateral")

  12. Epitrochlear LN

  13. Inguinal LN

  14. Inguinal LN • horizontal group (Along inguinal ligament) • vertical group (Along femoral vessels)

  15. 1. Superomedial superficial inguinal2. Superolateral superficial inguinal3. Inferior superficial inguinal4. Deep inguinal lymph nodes

  16. Wail Alamoudi 0504649662

  17. Examination of Lymph Nodes • Small, mobile, discrete, nontender nodes are common and termed shotty • Nodes are abnormal if greater than 1 cm and/or present greater than one month • Hard nodes suggest malignancy • Tender nodes suggest infection • Rubbery nodes suggest lymphoma

  18. in abnormal nodes, describe in terms of • location • size • delimination (discrete or matted together) • mobile or fixed • consistency (soft, hard, firm) • tenderness

  19. scalene lymph nodes are located deep in the neck near the cervical vertebra.

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