Slow development combined with progressive enlargement A common cause of enlarged superficial inguinal lymph nodes are STIs such as chancroid or genital herpes.Ĭervical ( anterior to the sternocleidomastoid muscle), inguinalĬervical ( dorsal to the sternocleidomastoid muscle), supraclavicularĪcute enlargement without long-term progression.Palpate the nodes below the inguinal ligament and medial to the femoral artery.A common cause of axillary lymphadenopathy is breast cancer.Move on to palpate the supratrochlear nodes, which are located 3 cm above the elbow.The central lymph nodes are typically the most palpable. Palpate the subclavicular, lateral, pectoral, and central lymph nodes.With one hand, palpate high into the axillary region, pressing your fingers against the chest wall behind the pectoralis muscle and sliding downward.Warn the patient that the exam might be uncomfortable. Support the patient's relaxed arm with your own.The most common cause of tender regional lymphadenopathy in the head/neck area is upper respiratory tract infection.Move on to the lymph nodes of the posterior triangle of the neck and the periclavicular lymph nodes.Move on to the submandibular and submental lymph nodes while also palpating for the parotid glands.Palpate the periauricular, occipital, and deep cervical lymph nodes.Palpate bilaterally with one hand on each side. Instruct the patient to keep the neck relaxed and slightly flexed.Evaluation of size and level of pain consistency, and fixation.The area to be examined should be relaxed to facilitate differentiation of the lymph node from the surrounding tissue (e.g., muscles, tendons).Visible enlargement: Lymph nodes should not be visible in healthy individuals, as they are only a few millimeters in diameter.General: assess for both local inflammatory processes (e.g., enlarged neck lymph nodes due to tonsillitis) and signs of systemic disease (e.g., hepatomegaly and splenomegaly).Signs of inflammation in the lymph node drainage area.Acute fever, skin changes (common in viral infections).Pain or tenderness: suggests benign inflammatory process.Other: Kawasaki disease, histiocytosis X, sarcoidosis, Castleman disease.Antihypertensives (e.g., hydralazine, captopril).Antibiotics (e.g., penicillins, trimethoprim/sulfamethoxazole).Leukemias (e.g., acute lymphoblastic leukemia).Protozoal: toxoplasmosis, malaria, visceral leishmaniosis.Helminthic: schistosomiasis, lymphatic filariasis.Fungal: aspergillosis, candidiasis, cryptococcus.Staphylococcal/ streptococcal skin infections.
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