{"id":374,"date":"2010-12-02T13:53:42","date_gmt":"2010-12-02T13:53:42","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/lymph-node-stations\/"},"modified":"2023-01-11T22:49:48","modified_gmt":"2023-01-11T22:49:48","slug":"lymph-node-stations","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-pulmonary-examination\/palpation\/lymph-node-stations\/","title":{"rendered":"Lymph node stations"},"content":{"rendered":"<p>When examining the lungs, the lymph node stations of the neck, the supraclavicular fossae and the axillae also have to be examined. Swollen glands in the supraclavicular fossae can point, amongst other things, to a bronchial carcinoma metastasised to the lymphatic system, a malignant lymphoma or to sarcoidosis.<\/p>\n<h2>Procedure<\/h2>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/122519010?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>Stand behind the patient. Palpate the following areas:<\/p>\n<ul>\n<li>submandibular area on both sides (beneath the mandibula) [Figure&nbsp;9]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-369\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-9.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-9.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-9-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"display: block;\">Figure 9: palpation of the lymph node stations; submandibular<\/span><\/span><\/p>\n<ul>\n<li>anterior to the sternocleidomastoid muscle on both sides [Figure&nbsp;10]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-370\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-10.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-10.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-10-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 10: palpation of the lymph node stations; anterior to the sternocleidomastoid muscle<\/span><\/span><\/p>\n<ul>\n<li>posterior to the sternocleidomastoid muscle on both sides [Figure&nbsp;11]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-371\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-11.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-11.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-11-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 11: palpation of the lymph node stations; posterior to the sternocleidomastoid muscle<\/span><\/span><\/p>\n<ul>\n<li>supraclavicular area on both sides (with two finger tips in the supraclavicular cavities) [Figure&nbsp;12]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-372\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-12.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-12.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-12-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 12: palpation of the lymph node stations; subclivicular area on both sides<\/span><\/span><\/p>\n<ul>\n<li>both axillary areas (high in both axillae) [Figure&nbsp;13]<\/li>\n<\/ul>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-373\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-13.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-13.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Pulmonary_pu-fig-13-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 13: palpation of the lymph node stations; axillary areas<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When examining the lungs, the lymph node stations of the neck, the supraclavicular fossae and the axillae also have to be examined. Swollen glands in the supraclavicular fossae can point, amongst other things, to a bronchial carcinoma metastasised to the lymphatic system, a malignant lymphoma or to sarcoidosis. Procedure Stand behind the patient. Palpate the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[28],"tags":[123],"class_list":["post-374","post","type-post","status-publish","format-standard","hentry","category-palpation","tag-the-pulmonary-examination"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Lymph node stations - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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