Pediatric Lymph Nodes

and now the palpation of lymph node locations. Oxypital lymph nodes are palpated from the front. They are typically enlarged with German measles.

Retro-aricular lymph nodes receive lymph from the oracle and the adjacent scalp.

Pre-aricular lymph nodes receive it from the parotid gland, the cheek and the scalp as far as the parting.

The angular lymph nodes react if the tonsils are infected. The submandibular lymph nodes receive lymph from the face and tongue. The submental ones, from the lower lip and chin.

The cervical lymph nodes are located behind the sternocleidomastoid muscle. They react if the adenoids are affected. They are collector lymph nodes and receive the lymph from the head and throat via the above name points. The supra and infraclavicular lymph nodes also receive lymph from the arm.

If the axillary lymph nodes are to be palpated the child's arm is slightly abducted and kept loose. The axillary lymph nodes have their drainage area in the arm, chest and chest wall. The cubital lymph nodes near the elbow are an intermediate station. They are best palpated if the lower arm is loosely flexed. The inguinal lymph nodes can be physiologically palpated in children up until puberty. If lymph nodes show pathological changes we describe their size, consistency, movability, the nature of their surface and any possible tenderness.

This child suffers from cervical lymphodonitis. On palpation the enlarged lymph node mass has begun to form an abscess.