Login or Register to unlock everything MedSchool has to offer!

Haem Exam

 
 
 
The Patient
The Hands
The Arms
The Face
The Neck
The Chest
The Abdomen
The Pelvis
The Back
The Legs
 
 

Axillary Lymphadenopathy

 
 
    • How to Assess
    • Using the pulps of the fingers, gently palpate each of the lymph node groups within axillary region.
    • Feel For
    • Size - normally <10mm
    • Tenderness
    • Consistency - hard (metastasis), rubbery (lymphoma), soft (reactive)
    • Mobility - mobile or tethered to underlying structures
    • Causes of Lymphadenopathy
    • Bacterial infection - localised infection, skin infection, tuberculosis / MAC, syphilis, cat-scratch disease
    • Viral infection - EBV, CMV, HIV, herpez simplex, rubella
    • Parasitic infection - toxoplasmosis
    • Malignancy - lymphoma, leukaemia, metastasis
    • Inflammatory disorders - lupus, rheumatoid arthritis
    • Sarcoidosis
    • Medications - allopurinol, atenolol, cephalosporins, penicillin, phenytoin, carbemazepine
    • Storage disorders
    • Benign idiopathic lymphadenopathy

Axillary Lymph Nodes

  • Pectoral nodes - anteriorly, behind the pectoralis major muscleAnterolateral chest wall, central / lateral breast
  • Subscapular nodes - posteriorly, in front of the subscapularis musclePosterior neck and chest wall
  • Lateral nodes - lateral aspect of armpitMedial hand, forearm and arm
  • Central nodes - within the centre of the axillaDrainage from pectoral, subscapular and lateral nodes
  • Infraclavicular nodes - below the distal aspect of the clavicleLateral hand, forearm and arm
  • Apical nodes - medially, at the lateral border of the 1st ribDrainage from all axillary lymph nodes
 
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Feedback