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Gastro Exam
 
 

Inguinal Lymph Nodes

 
 
 
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Overview

Lymphadenopathy refers to enlargement of the lymph nodes, which is often painful. It is important to carefully assess for lymph node enlargement, this suggests infective, inflammatory or malignant pathology.
  • How to Elicit

  • Using the pulps of the fingers, gently palpate the lymph nodes along the inguinal ligament and down the medial aspect of the thigh.
  • Feel For

  • Size - normally <10mm
  • Tenderness
  • Consistency - hard (metastasis), rubbery (lymphoma), soft (reactive)
  • Mobility - mobile or tethered to underlying structures
  • Causes of Lymphadenopathy

  • Infection - bacterial, viral, fungal
  • Inflammatory disorders - lupus, rheumatoid arthritis
  • Malignancy - leukaemia, lymphoma, metastasis
  • Medications - allopurinol, atenolol, cephalosporins, penicillin, phenytoin
  • Benign idiopathic lymphadenopathy
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