□ 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.
□ 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).
□ 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.
□ While supporting the patient's right wrist with the left hand, grasp the partially flexed elbow with the right
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).
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.
□ Use both hands to examine the popliteal fossa with the knee Hexed to less than 45".
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