Lymph Node Exam

Question 1

outline draping procedures for LN exam

Answer 1

draping requires full exposure of the neck and clavicles

Question 2

after draping, what are you inspecting for?

Answer 2

asymmetry swelling, masses skin changes. inspect from front, side and back

Question 3

when you find a palpable node, how do you describe it?

Answer 3

characterize any found nodes in terms of tenderness, texture, location, mobility, and size.

Question 4

Outline the cervical lymph node exam

Answer 4

occipital, post auerical, pre auricular, sub mandibular, submental, cervical chain on either side of the SCM, super-clavicular, infra claviuclar. look for virchows node, which is a sign of advanced cancer.

characterize any found nodes in terms of tenderness, texture, location, mobility, and size.

Question 5

after the cervical lymph node exam, what do you palpate?

Answer 5

the axillary nodes: CLAMP: central, lateral, anterior, medial, and posterior
characterize any found nodes in terms of tenderness, texture, location, mobility, and size.

Question 6

after the axillary nodes, what do you palpate?

Answer 6

the epitrochlear nodes around 3 cm above the medial epicondyle of the humus, or just medial to the muscle of the biceps. draping requires full exposure of the elbow arm.

• inspect for asymmetry, swelling, masses, skin changes
• palpate while the arm is slightly flexed. perform on both arms.
• characterize any found nodes in terms of tenderness, texture, location, mobility, and size.
• enlarged lymph nodes are due to malignancy or syphilli infection.

Question 7

after palpating the epitrochlea nodes, what do you palpate

Answer 7

the inguinal nodes. the sp can cover their chest again but now they should expose their abdomen. palpate the inguinal nodes along the inguinal ligament.

keep one side draped at a time

inspect for asymmetry, swelling, masses and skin changes

• palpatede the inguinal and femoral lymph nodes
• characterize any found nodes in terms of tenderness, texture, location, mobility, and size.
• enlarged lymph nodes in this area are often due to a sexually transmitted infection, cancer or infections of the pelvis

Question 8

enlarged inguinal nodes are indicative of:

Answer 8

• enlarged lymph nodes in this area are often due to a sexually transmitted infection, cancer or infections of the pelvis