Steps for assessing lymph nodes of the upper arm and axillary area: Video 1: Palpation of head and neck lymph nodes Lymph Nodes of Upper Arm and Axillary Area Halfway between the submental nodes and the angle of the jaw.Īlong the sternomastoid muscle at the top, just below the mastoid process.įigure 9: Lymphatic drainage of head and neck lymph nodes. Under the chin behind the bony prominence. Inferior to the occipital bone and on the lateral side of the occipital bone. Table 3: Lymph node locations on the head and neck. Client indicates they are tender.”įigure 8: Lymph node areas on head and neck Abnormal findings might be documented as: “Visible lymph nodes in the neck, hard, matted, and palpable cervical and supraclavicular lymph nodes on the right side, 3 cm.Normal findings might be documented as: “No lymph nodes palpable in the head and neck, no swelling, no asymmetry, no discolouration or increased temperature over lymph node locations, and no pain.”.If lymph nodes are visible or palpable, palpate the temperature over the lymph node areas of the head and neck using the dorsa of your hands, comparing bilaterally.If a lymph node is palpable, assess them as per Table 2 noted above.Normally, lymph nodes are not palpable, but remember that normal lymph nodes can sometimes be palpable in young children.For the supraclavicular nodes, you can ask the client to gently raise their shoulders. When assessing the deep cervical chain on clients with a muscular neck, you may ask the client to tip their head toward the side you are assessing to relax the sternomastoid muscle thus, you will need to do one side at a time. However, for the submental lymph nodes, you should use the fingers of your dominant hand to palpate just under the chin behind the bony prominence.
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