2/21/2024 0 Comments Shotty lymph nodes on palpation![]() When palpating a lymph node it is important to consider the following: – Hepatosplenomegaly (this is actually considered part of your lymph node exam!) – Oropharynx for pharyngitis, dental problems, HSV ginivostomatitis ![]() In an infant with occipital lymphadenopathy, one should examine the scalp for lesions such as seborrheic dermatitis. Ask if the patient has had a sore throat or ear pain. For example, in a child with cervical adenopathy one should examine the orpharynx and consider the possibility of streptococcal pharyngitis or viral upper respiratory infection. Always pay special attention to the area of the enlarged node for a focus of infection. Are they febrile? Plot them on the appropriate growth chart have they lost weight? Then perform a complete systematic physical exam paying special attention to your head and neck, abdominal and dermatological examinations. Palpable nodes in the supraclavicular region are often associated with malignancy of the chest or abdomen and always require further investigation.Īlways perform a complete physical exam beginning with general appearance, vital signs and growth parameters. Nodes that are usually palpable include anterior cervical, inguinal, and axillary regions until about age 12. Ingestion of unpasteurized animal milk (brucellosis), or undercooked meats (toxoplasmosis, tularemia)Ĭhildren often have easily palpable nodes enlarged in response to infection.
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