Lymph Exam Flashcards
Exam, lab, imaging for lymphs
Physical exam (swollen, non-tender)
CBC w/ differential
Biopsy
Exam, lab, imaging for spleen
Abdominal exam
CBC
US or CT
Exam, lab, imaging for liver
Abdominal
Enzymes
US or MRI
Exam, lab, imaging for thymus and tonsils
Throat exam
CBC w/ diff, culture
Electrophoresis is for?
Bone marrow
Inspection
Neck, axillary and inguinal areas for swelling and red streaks
Palpation for lymphs
Submental, submaxillary (submandibular), tonsillar, preauricular, postauricular, occipital, posterior cervical chain, deep cervical chain (hook finger around SCM), superficial cervical
Virchow or sentinel node indicates
metastasis
Right supraclavicular node drains
right arm, right half of head, face, and chest
Left supraclavicular node drains
everything else
When palpating the axillary what 4 walls do you palpate?
Pec major (ant)
T2-T6 (medial)
Lats (post)
Humerus (lat)
What do you do with lymphangitis (red streak)?
ER referral
What do you do with lymphadenopathy?
monitor
What do you do with lymphoma (tumors)?
biopsy
Non-tender and matted is malignant or benign?
malignant