General principles

□ Inspect for any visible lymphadenopathy.

P Palpate one side at a time using the lingers of one hand.

□ In turn compare the findings in a group of glands on one side with the contralateral side.

□ Assess the site, size and consistency of any palpable gland. Nole tenderness and determine if the gland is lixed to surrounding structures.

□ Examine the cervical and axillary glands with the patient sitting.

□ Lie the patient down to examine for the abdomen, inguinal and popliteal glands.

Cervical glands

□ From behind, examine the submental, submandibular, preauricular, tonsillar, supraclavicular and deep cervical glands in the anterior triangle of the neck I Fig. 2.43A, 13 and C). Palpate deeply for the scalene nodes (Fig. 4.3. p. 126).

□ From the front of lite patient, examine the posterior triangles, up the back of the neck and the posterior auricular and occipital nodes (Fig. 2.43D).

Axillary glands

□ Sit in front of the patient, supporting the arm on the side under examination. Palpate the right axilla with the left hand and vice versa (Fig. 2.44A and B). Insert ihe fingertips into the vault of the axilla and then draw them downwards while palpating the medial, anterior and posterior axillary wall in turn.

Epitrochlear glands

□ While supporting the patient's right wrist with the left hand, grasp the partially flexed elbow with the right

Posterior Axillary Lymph NodesTonsil Palpation
Fig. 2.43 Palpation of the cervical glands. Examine the glands of the anterior triangle from behind (A and B} using one hand at a time or both hands simultaneously (C). Examine the postenor glands from the front (D).

hand and use the thumb to feel for the epitrochlear gland, Examine the left epitrochlear gland with the left thumb (Fig. 2.45. p. fil).

Inguinal glands

LI Palpate in turn over the horizontal chain, which lies just below the inguinal ligament, and then over the vertical chain along the saphenous veins.

Popliteal glands

□ Use both hands to examine the popliteal fossa with the knee Hexed to less than 45".

Apitrochlear Fossa
Fig. 2.44 Palpation of the axillary glands. E Left side, QD Right side.
Epitrochlear Nodes
Fig. 2,45 Palpation of the epitrochlear gland.

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  • severi
    How to palpate epitrochlear lymph nodes?
    8 years ago
  • blake
    How to palpate anterior and posterior cervical chain lymph nodes?
    8 years ago
  • robinia
    Where is epitrochlear gland?
    8 years ago
  • gustavo bellucci
    How to palpate epitrochlear node?
    7 years ago
    How to palpate deep cervical lymph nodes?
    7 years ago
  • May
    How to examine epitrochlear lymph?
    7 years ago
  • eden
    Where to palpate glands in axilla?
    7 years ago

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