008 Lymph Nodes - Introduction to Clinical Surgery Lectures

  • 4,700 views
Uploaded on

Lecture on lymph nodes from a series of lectures on an introduction to clinical surgery. It has been devised with medical students in mind.

Lecture on lymph nodes from a series of lectures on an introduction to clinical surgery. It has been devised with medical students in mind.

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
No Downloads

Views

Total Views
4,700
On Slideshare
0
From Embeds
0
Number of Embeds
1

Actions

Shares
Downloads
0
Comments
0
Likes
6

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Lymph Nodes Nick Harvey
  • 2. Lymph Nodes: Causes of Lyphadenopathy
    • Generalised
      • Systemic infections
      • Leukaemia
      • Autoimmune diseases
    • Localised
      • Local infection
      • Metastases
      • Lymphoma
  • 3. Lymph Nodes: History
    • Onset, Course, Duration
    • Painful or painless
    • Other lumps
      • Present or past?
      • Same type or effect
    • Cause
      • Symptoms suggestive of primary tumour in the catchment area
    • Effect on General Condition
      • Fever, weight loss, appetite, bleeding tendency, recurrent infections
  • 4. Lymph Nodes: Lymphatic Drainage of the Body Head & Neck
    • Superficial Cervical Lymph Nodes
      • Submental (tongue, mouth, lips)
      • Submandibular (tongue, mouth)
      • Jugulodigastric (tonsils)
      • Pre-auricular (scalp)
      • Post-auricular (scalp)
      • Occipital (scalp)
    • Deep Cervical Lymph Nodes
      • Upper deep cervical
      • Lower deep cervical
        • Thyroid, upper oesophagus, naso- and oropharynx
  • 5. Lymph Nodes: Lymphatic Drainage of the Body Head & Neck
  • 6. Lymph Nodes: Examination Cervical Lymph Nodes
    • Start behind the patient
    • Tilt the head to the same side you’re examining
    • Relationship to sternocleidomastoid
  • 7. Lymph Nodes: Lymphatic Drainage of the Body Head & Neck Lymph Nodes
    • Plan for Examination of Cervical Lymphadenopathy
      • Skin of scalp, ears & neck
      • Nose
      • Mouth: floor, tongue, gums, tonsils
      • Parotid, submandibular & thyroid
      • Arms, chest wall (breasts)
      • Indirect laryngoscopy
  • 8. Lymph Nodes: Lymphatic Drainage of the Body Supraclavicular Lymph Nodes
    • Upper & Lower Deep Cervical
    • Right
      • Upper limb, both sides of the chest & breast
    • Left
      • Upper limb, both sides of the chest & breast
      • Lungs & abdominal viscera including testes
  • 9. Lymph Nodes: Lymphatic Drainage of the Body Axillary Lymph Nodes
    • Anterior group
    • Posterior group
    • Central group
    • Apical group
    • Lateral group
      • Upper limb & trunk above the level of umbilicus
  • 10. Lymph Nodes: Lymphatic Drainage of the Body Axillary Lymph Nodes
  • 11. Lymph Nodes: Lymphatic Drainage of the Body Inguinal Lymph Nodes
    • Trunk below the umbilicus
    • Lower limb
    • External genitalia skin
    • Lower half of anal canal
  • 12. Lymph Nodes: Lymphatic Drainage of the Body Thoracic Duct
    • Starts at L2 on right side - cisterna chyli
    • Crosses to the left side at T4
    • Terminates in the left subclavian vein
  • 13. Lymph Nodes: Examination
    • General
      • Temperature
      • Cachexia/weight loss
      • Anaemia
      • Jaundice
      • Petechial haemorrhage/ecchymoses
    • Local
      • Presenting lymph node (as a swelling)
      • Other lymph nodes
      • Lymphatics
      • Catchment area
      • Liver & spleen
  • 14. Lymph Nodes: Investigations
    • FBC, U&Es, LFTs, Clotting
    • CXR, Abdo USS, CT
    • Appropriate investigation to find a primary
    • FNA cytology
    • Biopsy??