Examination of the Neck Perauricular : in front of the tragus of ear Posterior auricular: behind ear Occipital: at base of skull
Examination of the Neck Submandibular Submental Tonsillar: at angle of mandible
Anterior cervical: superficial to the sternocleidomastoid Posterior cervical : along anterior edge of the trapezius Deep cervical : lies below the sternomastoid and cannot be palpated without getting underneath the muscle Supraclavicular
The deep cervical chain of lymph nodes – Inform the patient that this procedure will cause some discomfort. – Hook your fingers under the anterior edge of the sternomastoid muscle. – Ask the patient to bend their neck toward the side you are examining. – Move the muscle backward and palpate for the deep nodes underneath
Examination of Lymph Nodes Small, mobile, discrete, nontender nodes are common and termed shotty Nodes are abnormal if greater than 1 cm and/or present greater than one month Hard nodes suggest malignancy Tender nodes suggest infection Rubbery nodes suggest lymphoma
in abnormal nodes, describe in terms of – location – size – delimination (discrete or matted together) – mobile or fixed – consistency (soft, hard, firm) – tenderness
scalene lymph nodes are located deep in the neck near the cervical vertebra.