Archive:Lymph node exam - Revision history

wikademia>Wikademia: moved Lymph Node Exam to Archive:Lymph node exam

2009-06-12T16:47:50Z

moved Lymph Node Exam to Archive:Lymph node exam

← Older revision	Revision as of 16:47, 12 June 2009
(No difference)

wikademia>Wikademia at 01:19, 21 April 2009

2009-04-21T01:19:36Z

← Older revision		Revision as of 01:19, 21 April 2009
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	*axillary: anterior (pectoral), lateral, posterior (subscapular), apical, medial		*axillary: anterior (pectoral), lateral, posterior (subscapular), apical, medial
	*epitrochlear, inguinal		*epitrochlear, inguinal
			{{ntnes}}
	==Inspection==		==Inspection==
	*lymphedema		*lymphedema

wikademia>Wikademia: moved Lymph Node Exam (OSCE) to Lymph Node Exam

2009-04-21T01:19:27Z

moved Lymph Node Exam (OSCE) to Lymph Node Exam

← Older revision	Revision as of 01:19, 21 April 2009
(No difference)

wikademia>Wikademia: 4 revisions

2009-04-21T01:14:51Z

4 revisions

← Older revision	Revision as of 01:14, 21 April 2009
(No difference)

wikademia>Donek at 00:57, 25 June 2008

2008-06-25T00:57:08Z

← Older revision		Revision as of 00:57, 25 June 2008
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	==Other OSCE modules==		==Other OSCE modules==
	{{OSCE2}}		{{OSCE2}}
	[[Category:~~Medicine~~]][[Category:OSCE]]		[[Category: Clinical Skills]][[Category:OSCE]]

wikademia>Koppertone: /* Misc */

2007-05-18T03:13:07Z

Misc

← Older revision		Revision as of 03:13, 18 May 2007
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	==Misc==		==Misc==
	*ABNORMAL → (SLAP) - spleen, liver exam; associated lymph sites; search for a primary site		*ABNORMAL → (SLAP) - spleen, liver exam; associated lymph sites; search for a primary site
			==Other OSCE modules==
	{{OSCE2}}		{{OSCE2}}
	[[Category:Medicine]][[Category:OSCE]]		[[Category:Medicine]][[Category:OSCE]]

wikademia>Koppertone at 02:05, 18 May 2007

2007-05-18T02:05:20Z

← Older revision		Revision as of 02:05, 18 May 2007
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	*epitrochlear - while shaking the patient’s hand, feel the epitrochlear area		*epitrochlear - while shaking the patient’s hand, feel the epitrochlear area
	*inguinal - “shotty” nodes are small, mobile and discrete (normal)		*inguinal - “shotty” nodes are small, mobile and discrete (normal)

			==Misc==
			*ABNORMAL → (SLAP) - spleen, liver exam; associated lymph sites; search for a primary site

	{{OSCE2}}		{{OSCE2}}
	[[Category:Medicine]][[Category:OSCE]]		[[Category:Medicine]][[Category:OSCE]]

wikademia>Koppertone: New page: ==Lymph Node Groups== occipital, preauricular, postauricular submental, submandibular cervical: anterior, posterior, deep clavicular: supraclavicular, infraclavicular *axillary: anteri...

2007-05-18T01:42:22Z

New page: ==Lymph Node Groups== *occipital, preauricular, postauricular *submental, submandibular *cervical: anterior, posterior, deep *clavicular: supraclavicular, infraclavicular *axillary: anteri...

New page

==Lymph Node Groups==
*occipital, preauricular, postauricular
*submental, submandibular
*cervical: anterior, posterior, deep
*clavicular: supraclavicular, infraclavicular
*axillary: anterior (pectoral), lateral, posterior (subscapular), apical, medial
*epitrochlear, inguinal

==Inspection==
*lymphedema
*surgical scars from cancer excision
*obvious masses

==Palpation==
*technique: use the pads of the index and middle finger to move the skin in circular motions over the underlying tissues in each area; palpated both sides of the neck simultaneously
*small nodes (< size of distal phalanx of pinky finger) are normal unless in unusual location (preauricular).
*in abnormal nodes, describe in terms of
**location
**size
**delimination (discrete or matted together)
**mobile or fixed
**consistency (soft, hard, firm)
**tenderness

==Location of Nodes (And what it drains)==
*preauricular - in front of tragus of ear (eye)
*postauricular - behind ear, over mastoid process (ear)
*occipital - posterior to mastoid process, at base of skull

*submental - inside mentus of the mandible (floor of mouth)
*submandibular - near submandibular salivary glands (oral cavity)

*cervical chains
**anterior chain runs along the SCM (pharynx, tonsils)
**posterior chain runs along the trapezius

*clavicular (abdomen, thorax, breast)
**supraclavicular - '''Virchow’s node''' (ominous finding in cancer patient)

*axillary
**lateral (arm), medial
**apical - need to push very hard
**anterior (anterior chest wall, most of breast)
**posterior (posterior chest wall, upper arm)

*epitrochlear - while shaking the patient’s hand, feel the epitrochlear area
*inguinal - “shotty” nodes are small, mobile and discrete (normal)

{{OSCE2}}
[[Category:Medicine]][[Category:OSCE]]