![]() ![]() ![]() Recall to palpate nodes bilaterally at the same time: for example, assess the preauricular nodes on the left and right side at same time.Consider lymphatic drainage patterns (see Figure 9) this approach allows you to reflect on the origins of the cause when there is an abnormality. Palpate for lymph nodes using a systematic approach moving from proximal to distal thus moving from preauricular to supraclavicular area (see Figure 8, Table 3 and Video 1).Abnormal findings may include asymmetry and visible nodes due to swelling with erythema overlying the skin.Normally, the lymphatic areas are symmetrical between sides with no discolouration, swelling, or visible nodes.Inspect the lymph node areas on the head and neck (see Figure 8) for swelling, asymmetry, and erythema.Steps for assessing lymph nodes of the head and neck are as follows: Symmetry (is the node the same on both sides of the person’s body?) Node delimitation (what are the limits or the boundaries of the node in terms of whether it is an individual node or a cluster of nodes matted together?) Node movability (can you move it around when you palpate it?) Node consistency, e.g., rubbery, hard, soft (what is the consistency of the node?) Node size (what is the size of the node?) Node location (where is the node located?) Presence of pain/tenderness (is the node painful or tender?) Skin changes over the node (what is the skin colour and temperature?) ![]() Presence of observable swelling (is the node swollen and observable upon inspection?) See Table 2 for what to note when assessing lymph nodes and abnormal characteristics.
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