Examination of lymph nodes Flashcards
Methods of examining lymph nodes
Inspection
Palpation
Additional
Inspection of lymph nodes
Changes in normal contours and enlargement of the skin covering
Palpation of lymph nodes in cachectic
loss of fat surrounding, making them more prominent
What are the palpable lymph nodes
Mandibular and submandibular
Prescapular (supf cervical)
Popliteal
What are the lymph nodes that are only palpable when pathologically enlarged
Retropharyngeal Parotid Axillary Supf inguinal Mesenteric
Additional exams
Fine needle aspiration Biopsy/excision Extirpation X-ray US CT MRI
Parameters examined
Size Shape Consistency Structure Painfulness Movability Surface Skin above Symmetry
Size
Over 1.5 times is suspicious
Is incorrect to say enlarged
Shape
Ellipsoidal
Round
Consistency
Soft-rubber
Firm
Harder-softer
(Can also say elastic)
Structure
Homogenous or non-homogenous
Painfulness
Should be no pain
Movability
Unattached to surrounding tissues therefore easily movable
Surface
Smooth
Regular or irregular
Skin above
Temp
Elasticity
Intactness