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Haem Exam
 
 
 
 
Haem Exam
When examining a patient's haematologic system, remember the three key cell lines and the major manifestations that can result from their derangement: anaemia, infection and bleeding / bruising. The haematology exam is also used to identify signs of malignancy, such as lymphadenopathy and splenomegaly.
 

Inguinal Lymphadenopathy

 
 

Overview

    • How to Perform

    • 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
    • Significance

    • Inguinal lymphadenopathy may be an indicator of infection of the lower limb, genitals or perianal area; of lymphoma; or of a pelvic tumour.
    • 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
Last updated on January 1st, 2017
 
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