Examination of the Lymph Nodes

Dr Mohd Hairulhisyam Ngatiman

PAZ 2012

Objectives

• Anatomical sites of major lymph node groups

• Right technique of examining the lymph node groups

• Clinical significance of lymph nodes enlargement

Clinical significance

• Common causes of lymph nodes enlargement according to site– Cervical– Supraclavicular– Occipital– Axillary– Epitrochlear– Para-aortic– Inguinal– Popliteal

Cervical & Supraclavicular Lymph Nodes

• 1 Submental• 2 Submandibular• 3 Jugular chain• 4 Supraclavicular• 5 Posterior triangle• 6 Postauricular• 7 Preauricular• 8 Occipital

Submental lymph nodes

Submandibular lymph nodes

Cervical LN

Cervical LN

Cervical LN

Axillary Lymph Nodes

• A Central• B Lateral (brachial)• C Anterior (pectoral)• D Medial

(apical/subclavicular)• E Posterior

(subscapular)

Axillary LN

Axillary LN

Axillary Lymph Nodes Examination

Epitrochlear LN

Examination of Epitrochlear Lymph Nodes

Abdominal Lymph Nodes

Para-aortic lymph nodes

Iliac lymph nodes

Inguinal lymph nodes

Lymph nodes of chest and abdomen

Examination of Abdominal Lymph Nodes

Inguinal & Femoral LN

Inguinal & Femoral LN

Popliteal LN

Examination of Popliteal Lymph Nodes