lymph nodes examination
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
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Lymph nodes examination
Wail Alamoudi
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• Head & neck and clavicle• UL (axillary , epitrochlear)
• LL (inguinal , femoral and popliteal)
• Abdomen ( paraaortic , liver and spleen )
Classification
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Head & neck and clavicle
• There are approximately 300 lymph nodes in the neck
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Head & neck and clavicle
Inspection :Open mouth and see the 1. Tonsils 2. Adenoids (pharyngeal tonsils)
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• Perauricular• Posterior auricular• Occipital
• Submandibular • Submental• Tonsillar
• Anterior cervical• Posterior cervical• Deep cervical • Supraclavicular
Palpation
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Examination of the Neck
• Perauricular: in front of the tragus of ear
• Posterior auricular: behind ear
• Occipital: at base of skull
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Examination of the Neck
• Submandibular • Submental• Tonsillar: at angle of mandible
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• 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
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• 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
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Axillary LN
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1. central lymph nodes
2. pectoral axillary lymph nodes (or "anterior")3. subscapular axillary lymph nodes (or "posterior")
4. apical lymph nodes (or "medial" or "subclavicular")5. brachial lymph nodes (or "lateral")
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Epitrochlear LN
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Inguinal LN
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Inguinal LN
1. horizontal group (Along inguinal ligament)2. vertical group (Along femoral vessels)
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1. Superomedial superficial inguinal2. Superolateral superficial inguinal3. Inferior superficial inguinal4. Deep inguinal lymph nodes
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Wail Alamoudi
0504649662
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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
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• in abnormal nodes, describe in terms of – location– size– delimination (discrete or matted together)– mobile or fixed– consistency (soft, hard, firm)– tenderness
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• scalene lymph nodes are located deep in the neck near the cervical vertebra.
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