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head, lymph, neck
Stack #105782
| Question | Answer |
|---|---|
| lymphadenopathy | enlargement of the lymph nodes (>1cm) due to infection, allergy, or neoplasm |
| acute infection nodes | nodes are bilateral, enlarged, warm, tender, and firm but freely movable [nodes receive and drain adjacent tissue] |
| malignancy | hard, fixed, unilateral, nontender [supraclavicular node 9discrete, nontender, hard node0] |
| preauricular | anterior to tragus of ear; drainage : scalp, forehead, lateral eyelids, eyes, upper face & external auditory canal; e.g., adenopathy with eye infection |
| postauricular | behind ear on mastoid process, drainage: parietal area of scalp & external auditory canal; adenopathy with otitis externa |
| occipital | base of the skull, drainage: parietal region of scalp; e.g, adenopathy with scalp lesion |
| tonsillar (retropharyngeal) | at the angle of the jaw [mandible], drainage: eyelids, frontotemporal skin, external auditory meatus, tympanic cavity, tonsils, posterior palate, floor of mouth & thyroid |
| submaxillary (submandibular) | half way between jaw angle & tip of mandible; drainage: lips, mouth, tongue, & submaxillary glands, adenopathy with oral cancer |
| submental | midline, behind the tip of the mandible; drainage (lips, mouth, tongue) adenopathy with oral cancer |
| superficial or anterior cervical | location: overlying the SCM muscle; drainage (skin of ear and neck) |
| posterior cervical chain | in the posterior triangle along the edge of the trapezius muscle; drainage: posterior scalp, posterior skin of neck and thyroid; e.g. adenopathy thyroid cancer, mononucleosis |
| deep cervical chain | under the SCM muscle, drainage: ear, larynx, thyroid, trachea & upper part of esophagus, e.g. adenopathy iwth laryngeal cancer |
| supraclavicular | above and behind the SCM muscle; drainage: upper ABD, lungs, breast and arm, r/o neoplasm (adenopathy here is usually BAD) |
| Adenopathy | Swelling or abnormal enlargement of the lymph nodes |