LN exam

Question 1

characteristics of benign nodes

Answer 1

small, well demarcated
soft
non-matted
non-tender

Question 2

characteristics of cancerous LN

Answer 2

large, rock-hard
matted
non-tender

Question 3

characteristics of inflammatory LN

Answer 3

firm, fluctuant
matted
tender

Question 4

axillary nodes

Answer 4

large, tender mobile=infection arm

hard, fixed, matted=spread from pulm/breast ca

Question 5

epitrochlear spaces (behind elbow)

Answer 5

1. inflammatory process hand/arm
2. IV drug user
3. systemic illness (sarcoid/syphilis)

Question 6

preauricular nodes

Answer 6

lymphoma or conjunctivitis

Question 7

prelaryngeal nodes

Answer 7

delphian nodes, thyroid disease

Question 8

inguinal nodes

Answer 8

lateral; more sig than femoral

Question 9

sister mary joseph nodule

Answer 9

periumbilical nodule or hard mass; ovary or stomach malignancy

Question 10

occipital nodes (behind ear)

Answer 10

common childhood infections and scalp infection

Question 11

anterior cervical nodes

Answer 11

URI and inflammation of anterior part of mouth

Question 12

posterior cervical nodes

Answer 12

soft: dandruff, otitis media
hard: nasopharyngeal tumor

Question 13

submandibular and submental nodes

Answer 13

soft: local dental pathology
hard: node, lip, ant tongue, or ant mouth cancer

Question 14

jugular

Answer 14

mid: can base of tongue/larynx
lower: thyroid, esophageal ca