Clinical Examination of Head and Neck Lymph Nodes – Clinical Skills – Dr Gill
The clinical examination of head and neck lymph nodes is the first clinical skills session which new medical students at Warwick Medical School encounter and is a comment examination station in medical school OSCEs
Most people will be familiar with the concept of having “raised glands” when they have a sore throat. This is not actually having raised glands but is due to enlargement of the lymph nodes of the neck in order to facilitate the immune response to the infection.
Lymph nodes are exactly that, nodes on the network of the lymphatic system that allows the main immune system to react and to focus resources where they are needed within the body.
Here will look at the steps required for examination of the lymph nodes of the head and neck. Starting with the Submental submandibular parotid and tonsil lymph-nodes, we will progress upward To assess the pre-and post auricular lymph-node Before moving to the back of the head to check the occipital nodes.
Then we move down the neck, looking at the anterior and posterior cervical chains, before getting the patient to shrug their shoulders, in order to assess for supraclavicular nodes, and hopefully ruling out the worrying Virchows node.
Some people watch on this medical examination may experience an ASMR effect
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You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice – https://www.drfinlays.co.uk/services/video-consultation/
00:00 – Introduction
01:50 – Describing a Lump
04:03 – Lymph Nodes Examination
06:20 – Closing Thoughts
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Clinical examination of the lymph nodes includes inspection and palpation of all clinically relevant major lymph node groups. Clinically relevant lymph nodes are located in the head and neck, the axillae, and the inguinal area. Palpable lymph nodes should be assessed for size, tenderness, mobility, and erythema. A complete examination of the lymph nodes also includes the palpation of the spleen, which is considered a major lymphatic organ.
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Video Index:
0:31 – Identification of head / neck lymph nodes
0:39 – Lymph nodes to include in every palpation
1:31 – Palpation of head and neck lymph nodes: suboccipital, retro- and preauricular, submandibular, submental, deep cervical, supraclavicular, infraclavicular
2:19 – Identification of axillary lymph nodes
3:28 – Palpation of axillary lymph nodes
3:59 – Identification of the superficial lymph nodes of the inguinal area
4:39 – Examination of inguinal lymph nodes
5:03 – Examination of an enlarged spleen
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