Lymph Node Clinical Examination Lymphoreticular OSCE Clinical Skills Dr Gill

The clinical examination of the head and neck lymph nodes is often the first clinical skills session that new medical students encounter and is a common examination station in medical school OSCEs

Most people will be familiar with the concept of having "raised glands" when they have a sore throat. This is not actually a raised "gland" but is due to enlargement of the lymph nodes of the neck as a result of the immune system reacting to facilitate the immune response to the infection.

Lymph nodes are exactly that, nodes on the network of the lymphatic system that allows the main immune system to react and to focus resources where they are needed within the body.

This lymphoreticular examination covers lymph nodes in the following regions:

Submental
Submandibular
Parotid and tonsilar
Preand post auricular

Deep, superficial and posterior cervical chains

Occipital
Supraclavicular

Axillary
Epitrochlear nodes



Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations the aim is the effectively identify medically relevant signs.

However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment you should concentrate on THEIR marks schemes for your assessments.

The examination demonstrated here is derived from Macleods Clinical Examination a recognised standard textbook for clinical skills.

Some people viewing this medical examination video may experience an ASMR effect


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00:00 Patient Verification and Consent
00:42 Neck Examination
01:46 Arm Examination
02:21 Armpit Examination
03:15 Conclusion